Mrs Julie R Clark, MA CCC SLP L is a
Speech-language Pathologist based in Frewsburg, New York. Mrs Julie R Clark is licensed to practice in New York (license number 0201341) and her current practice location is
118 N Pearl St, Frewsburg, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 708-2025.
NPI number for Mrs Julie R Clark is 1649577800 and her current mailing address is 774 Fairmount Ave, Jamestown, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649577800.
Healthcare Provider's Profile
| Full Name | Mrs Julie R Clark |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 118 N Pearl St, Frewsburg, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649577800
- Provider Enumeration Date: 02/23/2011
- Last Update Date: 05/11/2026
Medical Identifiers
Medical identifiers for Mrs Julie R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649577800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 0201341 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Julie R Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Julie R Clark, MA CCC SLP L 774 Fairmount Ave, Jamestown, NY 14701-2609 Ph: (716) 338-0668 | Mrs Julie R Clark, MA CCC SLP L 118 N Pearl St, Frewsburg, NY 14738-9514 Ph: (716) 708-2025 |
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