Marquell Clark
Speech-Language Pathologist, in Temple, TX. Individual provider (NPI-1).
NPI number1164048880
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1164048880
- Entity type
- Individual (NPI-1)
- Name
- Marquell Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2020
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
6420 S General Bruce DrTemple, TX 76502-5830
Phone 254-399-8255 · Fax 254-235-3408
Mailing address
Po Box 23269Waco, TX 76702-3269
Phone 254-399-8255
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All 96 Speech-Language Pathologist providers in Temple · All 5,096 providers in Temple
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