Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHRYN GORE CLARK, CCC-SLP
Active Sole ProprietorMRS. KATHRYN GORE CLARK, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in FORT RUCKER, Alabama. NPI 1760606040 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · FORT RUCKER, AL
Registration Details
- NPI Number
- 1760606040
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2007 (19.30366341971 yrs)
- Last Updated
- Mar 19, 2009
- Licenses
-
SP 955 (HI)2820 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 ANDREWS AVENUEEDISFORT RUCKER, AL, 36362Browse AL providers · Browse ZIP 36362
- Phone
- 8087721393
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
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.