NPI 1538998620

Alicia Clark, MSCCCSLP

Practitioner Speech-Language Pathologist Madison, WV

Practice location

Address: 701 Madison Ave, Madison, WV 25130-1669
Phone: (304) 369-5719
Fax: (304) 369-2930

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 1219 (WV)

Other Speech-Language Pathologist providers in West Virginia →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-1219 (WV)

Registry record

NPI: 1538998620
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2024
Record last updated: 29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.