| Doctor Name: | DR. MAYA R CLARK |
| NPI Number: | 1902086358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | SLP006487 |
| Business Practice Address: | 11550 Abercorn St Savannah, GA - 314191902 |
| Business Phone Number: | 9129275096 |
| Business Fax Number: | 9129275097 |
| Mailing Address: | 47 Dunnoman Dr, SAVANNAH |
| State: | GA |
| Postal Code: | 314198125 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2007 |
| NPI Last Update Date: | 11/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP006487 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |