Individual provider · Type 1 NPI

Cory Michael Clark

Speech-Language Assistant · El Mirage, AZ

NPI number 1669021234 Active

Practice location

12701 N Main St
El Mirage, AZ 85335-2600

Call (623) 217-8544 Map

Mailing address

4525 S College Ave
Tempe, AZ 85282-6905

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA11879 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1669021234

Cory Michael Clark's National Provider Identifier is 1669021234, issued on Sep 6, 2019. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in El Mirage, AZ. The record was last updated on Sep 6, 2019.