Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA G CLARK
Active Sole ProprietorMRS. LISA G CLARK is a Speech, Language and Hearing Specialist healthcare provider located in MATTOON, Illinois. NPI 1548694383 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · MATTOON, IL
Registration Details
- NPI Number
- 1548694383
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2013 (12.975458728838 yrs)
- Last Updated
- Aug 29, 2013
- License
-
146011611 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2405 CHAMPAIGN AVEMATTOON, IL, 619382646Browse IL providers · Browse ZIP 61938
- Phone
- 2172388800
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. BRENDA M WILSON | CCC | 1215054507 |
| STACEY VITALE | — | 1962529909 |
| MRS. JANA C HORTENSTINE | M.S. CCC SLP | 1033236633 |
| MS. TONI C CHAMBERS | M.S., CCC SLP | 1376662502 |
| ANN DRALLE | — | 1780704437 |
| MICHELLE MEYER | — | 1033239553 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.