Provider Demographics
NPI:1184852402
Name:MCCLINTOCK, CLAIRE DUGAN (MS, CCC-SLP/L)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:DUGAN
Last Name:MCCLINTOCK
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 W ASTER CT
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-2800
Mailing Address - Country:US
Mailing Address - Phone:219-331-4858
Mailing Address - Fax:
Practice Address - Street 1:701 PRAIRIE HAWK DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8001
Practice Address - Country:US
Practice Address - Phone:303-387-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24476077235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist