| Katherine E Clark, | |
|
11981 Ruddy Run, Odessa, FL 33556-4095 | |
| (813) 525-1323 | |
| Not Available |
| Full Name | Katherine E Clark |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 11981 Ruddy Run, Odessa, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316368152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA12208 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine E Clark, 11981 Ruddy Run, Odessa, FL 33556-4095 Ph: (813) 525-1323 | Katherine E Clark, 11981 Ruddy Run, Odessa, FL 33556-4095 Ph: (813) 525-1323 |
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