Most Relevant Information
Provider Data
| NPI Number: | 1003441759 |
| Provider Name: | CHRISTINA CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5273 |
Most Important Dates
| Enumeration Date: | 03/03/2020 |
| Last Updated: | 11/19/2021 |
Provider Practice Location
6715 E 41ST ST
TULSA
OK
741454520
Practice Location Phone/Fax
| Phone: | 9186303083 |
| Fax: |
Provider Mailing Location
4928 S NARCISSUS AVE
BROKEN ARROW
OK
740114217
Provider Mailing Phone/Fax
| Phone: | 9186393083 |
| Fax: |