National Provider Identifier

Melanie J. Clark

Melanie J. Clark is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hornell, NY and a listed phone number of (607) 324-0014.

NPI 1912276320Hornell, NYSpeech-Language Pathologist

Profile Overview

NPI
1912276320
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 14, 2011
Last Updated
December 14, 2011

Practice Location

  • 1 Avondale Ave
  • North Hornell School
  • Hornell, NY 14843-1001

Phone: (607) 324-0014

Mailing Address

  • 7265 Coon RD
  • Bath, NY 14810-7743

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1912276320
Entity Type
Individual
Last Name
Clark
First Name
Melanie
Middle Name
J.
Name Prefix
Mrs.
Mailing Street Address
7265 Coon RD
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-7743
Mailing Country
US
Mailing Phone
(607) 776-6192
Practice Street Address
1 Avondale Ave
Practice Address Line 2
North Hornell School
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-1001
Practice Country
US
Practice Phone
(607) 324-0014
Enumeration Date
December 14, 2011
Last Updated
December 14, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)