Individual provider · Type 1 NPI

Brandon Clark, SLPA

Speech-Language Assistant · Victorville, CA

NPI number 1619851615 Active

Practice location

14369 Park Ave Ste 201A
Victorville, CA 92392-2300

Call (760) 278-1484 Map

Mailing address

1945 Manchester Ct
San Jacinto, CA 92582-6903

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSPA5014 (CA)

Speech-Language Assistant: Definition to come...

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About NPI 1619851615

Brandon Clark, SLPA's National Provider Identifier is 1619851615, issued on Aug 4, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Victorville, CA. The record was last updated on Aug 4, 2025.