Provider Demographics
NPI:1366796864
Name:CLARKE, SADIKA T (SLP-CF)
Entity type:Individual
Prefix:MS
First Name:SADIKA
Middle Name:T
Last Name:CLARKE
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E 118TH ST
Mailing Address - Street 2:706
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4380
Mailing Address - Country:US
Mailing Address - Phone:212-423-1885
Mailing Address - Fax:
Practice Address - Street 1:225 E 118TH ST
Practice Address - Street 2:706
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4380
Practice Address - Country:US
Practice Address - Phone:212-423-1885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist