John Russell Clark, MS SLPCCC is a
Speech-language Pathologist based in Laverock, Pennsylvania. John Russell Clark is licensed to practice in Pennsylvania (license number SL006211L) and his current practice location is
7811 Cobden Rd, Laverock, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 233-2504.
NPI number for John Russell Clark is 1831417922 and his current mailing address is 7811 Cobden Rd, Laverock, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831417922.
Healthcare Provider's Profile
| Full Name | John Russell Clark |
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| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 7811 Cobden Rd, Laverock, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831417922
- Provider Enumeration Date: 05/13/2010
- Last Update Date: 05/13/2010
Medical Identifiers
Medical identifiers for John Russell Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831417922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SL006211L (Pennsylvania) | 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. John Russell 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 |
|---|
John Russell Clark, MS SLPCCC
7811 Cobden Rd,
Laverock, PA 19038-7257
Ph: (215) 233-2504 | John Russell Clark, MS SLPCCC
7811 Cobden Rd,
Laverock, PA 19038-7257
Ph: (215) 233-2504 |
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