Individual provider · Type 1 NPI

Edgar Vincent Clark, CCC-S

Speech-Language Pathologist · Vidalia, GA

NPI number 1962611202 Active

Practice location

101 Harris Industrial Blvd
Vidalia, GA 30474-8845

Call (912) 537-2044 Map

Fax (912) 277-2098

Mailing address

PO Box 383
Glenwood, GA 30428-0383

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP004577 (GA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1962611202

Edgar Vincent Clark, CCC-S's National Provider Identifier is 1962611202, issued on May 22, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Vidalia, GA. The record was last updated on Jul 8, 2007.