Individual provider · Type 1 NPI

Jody R. Clark

Speech-Language Assistant · Phoenix, AZ

NPI number 1821367178 Active

Practice location

20402 N 15th Ave
Phoenix, AZ 85027-3636

Call (623) 445-5952 Map

Fax (623) 445-5095

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA7559 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1821367178

Jody R. Clark's National Provider Identifier is 1821367178, issued on Dec 15, 2011. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 15, 2011.