Kathleen Clark Clark, SPEECH LANGUAGE PATH - Speech-Language Pathologist in Thendara, NY

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Kathleen Clark Clark, SPEECH LANGUAGE PATH is a Speech-language Pathologist based in Thendara, New York. Kathleen Clark Clark is licensed to practice in New York (license number 00834-1) and her current practice location is 2675 State Route 28, Thendara, New York. She can be reached at her office (for appointments etc.) via phone at (315) 369-3307.

NPI number for Kathleen Clark Clark is 1114176328 and her current mailing address is 2675 State Route 28, Po Box 7, Thendara, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114176328.

Contact Information

Kathleen Clark Clark, SPEECH LANGUAGE PATH
2675 State Route 28,
Thendara, NY 13472-0007
(315) 369-3307
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKathleen Clark Clark
GenderFemale
SpecialitySpeech-language Pathologist
Location2675 State Route 28, Thendara, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114176328
  • Provider Enumeration Date: 09/11/2008
  • Last Update Date: 09/11/2008

Medical Identifiers

Medical identifiers for Kathleen Clark Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114176328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 00834-1 (New York)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. Kathleen Clark 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 AddressPractice Location Address
Kathleen Clark Clark, SPEECH LANGUAGE PATH
2675 State Route 28, Po Box 7,
Thendara, NY 13472-0007

Ph: (315) 369-3307		Kathleen Clark Clark, SPEECH LANGUAGE PATH
2675 State Route 28,
Thendara, NY 13472-0007

Ph: (315) 369-3307

Reviews and Comments


Speech-Language Pathologist in Thendara, NY


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