Lamont L. Clark in Willard - Speech-language Pathologist

Lamont L. Clark - NPI 1790844579

Lamont L. Clark is a Speech-language Pathologist in Willard, Missouri. Lamont L. Clark practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lamont L. Clark is 1790844579. The last update date is 2007-07-08.

Lamont L. Clark's current location address is 3725 N Farm Road 79, Willard, Missouri. You can contact this provider via phone number 4177730384. The mailing address for Lamont L. Clark is 3725 N Farm Road 79, Willard, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Lamont L. Clark
Address 3725 N Farm Road 79, Willard, Missouri
Phone Number 4177730384
Fax Number
Sole Proprietor N
Credentials M.A.-CCC-S

NPI Number Detail

NPI Number 1790844579
Provider Enumeration Date 2006-12-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3725 N Farm Road 79
City Willard
State Missouri (MO)
Post Code 657818155
Phone Number 4177730384
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 296200
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Lamont L. Clark

What is the unique identifier code issued to Lamont L. Clark by the Centers for Medicare & Medicaid Services?

The Lamont L. Clark has been assigned the NPI (National Provider Identifier) 1790844579. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lamont L. Clark is geographically located?

The Lamont L. Clark is physically situated at the following location: 3725 N Farm Road 79, Willard, MO, 657818155.

What is the Lamont L. Clark's specialty and taxonomy code?

The Lamont L. Clark's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790844579 to Lamont L. Clark?

The Centers for Medicare & Medicaid Services originally issued the 1790844579 to Lamont L. Clark on 2006-12-07.

As of what date was the information regarding Lamont L. Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lamont L. Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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