Bethany Clark, MS,CCC-SLP

Speech-Language Pathologist · Walnut Ridge, AR

Individual Active NPI

NPI number 1265690887

Practice location

211 W Hickory St
Walnut Ridge, AR 72476-2648
Phone
(870) 886-3212
Fax
(870) 886-3224

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NPI record

NPI
1265690887
Entity type
Individual (Type 1)
Enumeration date
May 30, 2008
Last updated
May 30, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SP#2432 AR

Mailing address

211 Carmen Dr
Walnut Ridge, AR 72476-1775
Phone
(870) 692-2602

About Bethany Clark

Bethany Clark, MS,CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 211 W Hickory St, Walnut Ridge, AR 72476-2648. The NPI number 1265690887 was assigned on May 30, 2008 and the record was last updated on May 30, 2008.

Bethany Clark lists a license in the registry: #SP#2432 (AR) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Clark, MS,CCC-SLP?

The NPI number is 1265690887.

What is the phone number of Bethany Clark?

The phone number listed for the practice location is (870) 886-3212.

Where is Bethany Clark located?

211 W Hickory St, Walnut Ridge, AR 72476-2648.

What is the taxonomy code for Bethany Clark?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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