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Riley Clark, MS, CCC-SLP

Speech-Language Pathologist, in Brentwood, TN. Individual provider (NPI-1).

NPI number1548064652
StatusActive
Last updated in NPPESApr 1, 2025

Details

NPI
1548064652
Entity type
Individual (NPI-1)
Name
Riley Clark
Credential
MS, CCC-SLP
Sole proprietor
Yes
Enumeration date
Apr 1, 2025
Certification date
Mar 21, 2025
Last updated
Apr 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,8642TNYes

Practice location

5121 Maryland Way Ste 301
Brentwood, TN 37027-7516

Phone 815-741-9261

Mailing address

200 Hillside Cottage Ln Apt 606
Nashville, TN 37207-4873

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