| Mrs Kathryn Gore Clark, CCC-SLP | |
|
301 Andrews Avenue, Edis, Fort Rucker, AL 36362 | |
| (808) 772-1393 | |
| Not Available |
| Full Name | Mrs Kathryn Gore Clark |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 301 Andrews Avenue, Fort Rucker, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760606040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP 955 (Hawaii) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2820 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathryn Gore Clark, CCC-SLP 112 N Harris Dr, Fort Rucker, AL 36362-2338 Ph: (808) 772-1393 | Mrs Kathryn Gore Clark, CCC-SLP 301 Andrews Avenue, Edis, Fort Rucker, AL 36362 Ph: (808) 772-1393 |
Dr. Lydia Malloy, AU.D., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews Ave, Fort Rucker, AL 36362 Phone: 334-255-7838 | |
Ms. Nancee L Dixon, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362 Phone: 505-450-7653 |