Individual provider · Type 1 NPI

Shannon Clark

Speech-Language Assistant · Round Rock, TX

NPI number 1114255734 Active

Practice location

1208 Ih 35 N Ste Q
Round Rock, TX 78681-4204

Call (512) 310-7665 Map

Fax (512) 310-9228

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X35304 (TX)

Speech-Language Assistant: Definition to come...

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About NPI 1114255734

Shannon Clark's National Provider Identifier is 1114255734, issued on Nov 19, 2009. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Round Rock, TX. The record was last updated on Nov 19, 2009.