Clayton Thomas Shirk I, SLP
Speech-Language Pathologist, in Tucson, AZ. Individual provider (NPI-1).
NPI number1174864458
StatusActive
Last updated in NPPESSep 17, 2020
Details
- NPI
- 1174864458
- Entity type
- Individual (NPI-1)
- Name
- Mr. Clayton Thomas Shirk I
- Credential
- SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2013
- Certification date
- Sep 17, 2020
- Last updated
- Sep 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP8235 | AZ | Yes |
Practice location
2260 N Rosemont Blvd Ste 100Tucson, AZ 85712-2137
Phone 520-232-2021 · Fax 520-232-2553
Mailing address
1830 E Broadway Blvd Ste 124-316Tucson, AZ 85719-5966
Phone 520-232-2021
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