| Miss Diana Marcela Clark, MS, SLP | |
|
1900 W Alpha Ct, Lecanto, FL 34461-7507 | |
| (800) 380-9135 | |
| Not Available |
| Full Name | Miss Diana Marcela Clark |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1900 W Alpha Ct, Lecanto, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124044060 | NPI | - | NPPES |
| 890986500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA8620 (Florida) | Primary |
| Provider Name | Ap Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699552646 PECOS PAC ID: 9032552559 Enrollment ID: O20240212001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Diana Marcela Clark, MS, SLP 6546 E Channel Dr, Hernando, FL 34442-3708 Ph: (786) 246-5967 | Miss Diana Marcela Clark, MS, SLP 1900 W Alpha Ct, Lecanto, FL 34461-7507 Ph: (800) 380-9135 |
Javier Antonio Rivera, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2790 W Laureen St, Lecanto, FL 34461 Phone: 727-437-2892 | |
Above And Beyond Communication Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 W Gulf To Lake Hwy, Lecanto, FL 34461 Phone: 352-746-9233 Fax: 352-746-9323 | |
Norman Tuvell, MS, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2333 N Brentwood Cir, Lecanto, FL 34461 Phone: 352-746-6600 | |
Miss Melisa Ann Workman, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 538 N Lecanto Hwy, Suite 538, Lecanto, FL 34461 Phone: 352-746-3300 Fax: 352-746-0569 | |
Above And Beyond Communication Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 W Gulf To Lake Hwy, Lecanto, FL 34461 Phone: 352-746-9233 Fax: 352-746-9323 | |
Mrs. Lesa Lynn Shelton, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 538 N Lecanto Hwy, Suite 538, Lecanto, FL 34461 Phone: 352-746-3300 Fax: 352-746-0569 |