Active NPIIndividual provider

Ms. Carol Clark, MS, CCC-SP

Speech-Language Pathologist, in Medfield, Massachusetts

NPI Number1063846244
Practice location
5 N Meadows RD, Medfield, MA 02052-2317
Fax
508-359-0198
Last updated
August 24, 2013

Carol Clark is a Speech-Language Pathologist, based in Medfield, MA. Carol Clark practices in Medfield, MA and has the professional credentials of MS, CCC-SP. The NPI Number for Carol Clark is 1063846244 and holds a License No. 2990 (MA). The current practice location address for Carol Clark is 5 N Meadows RD, Medfield, MA 02052-2317 and can be reached out via phone at 508-359-4532 and via fax at 508-359-0198.

Provider Profile Details

NPI Number
1063846244
Provider Name
Carol Clark
Credential
MS, CCC-SP
Provider Entity Type
Individual
Gender
Female
Address
5 N Meadows RD, Medfield, MA 02052-2317
Phone Number
508-359-4532
Fax Number
508-359-0198
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2013
Last Update Date
August 24, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 N Meadows RD
Medfield, MA 02052-2317
Zip
02052-2317
Phone Number
508-359-4532
Fax Number
508-359-0198
Medfield, MA 02052Get directions →

Provider Business Mailing Address Details

Address
5 N Meadows RD
Medfield, MA 02052-2317
City
Medfield
State
MA
Zip
02052-2317
Phone Number
508-359-4532
Fax Number
508-359-0198

License Information

License Number
2990
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Carol Clark, MS, CCC-SP?

The NPI number of Ms. Carol Clark, MS, CCC-SP is 1063846244. It was assigned on August 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Carol Clark, MS, CCC-SP?

Ms. Carol Clark, MS, CCC-SP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 2990.

Where does Ms. Carol Clark, MS, CCC-SP practice?

The practice location is 5 N Meadows RD, Medfield, MA 02052-2317. The office can be reached at 508-359-4532 (phone) or 508-359-0198 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063846244 directly on the NPPES registry website.

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