Individual provider · Type 1 NPI
Taylor Clark
Speech-Language Assistant · Lewisville, TX
NPI number
1104377340
Active
Practice location
1509 Willowross Dr
Lewisville, TX 75077-3705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 39489 (TX) |
Speech-Language Assistant: Definition to come...
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About NPI 1104377340
Taylor Clark's National Provider Identifier is 1104377340, issued on Oct 24, 2016. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Lewisville, TX. The record was last updated on Oct 24, 2016.