| Mr Jordan Barton Clark, MS, CCC-SLP | |
|
1462 S 231st Ln, Buckeye, AZ 85326-6131 | |
| (623) 327-0931 | |
| Not Available |
| Full Name | Mr Jordan Barton Clark |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1462 S 231st Ln, Buckeye, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679508345 | NPI | - | NPPES |
| 644535 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP1347 (Arizona) | Primary |
| Provider Name | Therapy One Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316163884 PECOS PAC ID: 2668771015 Enrollment ID: O20160505002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jordan Barton Clark, MS, CCC-SLP 1462 S 231st Ln, Buckeye, AZ 85326-6131 Ph: (623) 327-0931 | Mr Jordan Barton Clark, MS, CCC-SLP 1462 S 231st Ln, Buckeye, AZ 85326-6131 Ph: (623) 327-0931 |
Naytrice Porschae Carlton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25867 W St Catherine Ave, Buckeye, AZ 85326 Phone: 234-716-8972 | |
Madison Christine Kelley, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 751 N 215th Ave, Buckeye, AZ 85326 Phone: 623-474-0332 | |
Mrs. Heather L Pederson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 210 S 6th St, Buckeye, AZ 85326 Phone: 623-386-4487 Fax: 623-386-6063 | |
Mrs. Marie Ellen Fritz, MA-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25555 W Durango St, Buckeye, AZ 85326 Phone: 623-925-3400 | |
Anna Marie Anger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2700 S 257th Dr, Buckeye, AZ 85326 Phone: 602-465-6827 | |
Ms. Jennifer Reier, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19818 West Highway 85, Buckeye, AZ 85326 Phone: 623-327-2810 | |
Monica Renee Malmgren, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20805 N 260th Ln, Buckeye, AZ 85396 Phone: 435-770-1408 |