Emily Burzynski Clark, SLP is a
Speech-language Pathologist based in Friendship, Wisconsin. Emily Burzynski Clark is licensed to practice in Wisconsin (license number 3558-154) and her current practice location is
210 S. Park St, Friendship, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 339-3361.
NPI number for Emily Burzynski Clark is 1780972174 and her current mailing address is P.o. Box 130, 201 S. Park St. Villa Pines Living Center, Friendship, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780972174.
Healthcare Provider's Profile
Full Name | Emily Burzynski Clark |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 210 S. Park St, Friendship, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780972174
- Provider Enumeration Date: 07/19/2011
- Last Update Date: 01/17/2013
Medical Identifiers
Medical identifiers for Emily Burzynski Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780972174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 3558-154 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Burzynski Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Emily Burzynski Clark, SLP P.o. Box 130, 201 S. Park St. Villa Pines Living Center, Friendship, WI 53934 Ph: (608) 339-3361 | Emily Burzynski Clark, SLP 210 S. Park St, Friendship, WI 53934 Ph: (608) 339-3361 |
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