Active NPIIndividual provider

Logan Clark, MS

Speech-Language Pathologist, in Roslindale, Massachusetts

NPI Number1215763180
Practice location
11 Primrose St Apt 1, Roslindale, MA 02131-1615
Fax
—
Last updated
March 4, 2026

Logan Clark is a Speech-Language Pathologist, based in Roslindale, MA. Logan Clark practices in Roslindale, MA and has the professional credentials of MS. The NPI Number for Logan Clark is 1215763180. The current practice location address for Logan Clark is 11 Primrose St Apt 1, Roslindale, MA 02131-1615 and can be reached out via phone at 818-635-3558.

Provider Profile Details

NPI Number
1215763180
Provider Name
Logan Clark
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
11 Primrose St Apt 1, Roslindale, MA 02131-1615
Phone Number
818-635-3558
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2024
Last Update Date
March 4, 2026
Certification Date
March 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Primrose St Apt 1
Roslindale, MA 02131-1615
Zip
02131-1615
Phone Number
818-635-3558
Roslindale, MA 02131Get directions →

Provider Business Mailing Address Details

Address
11 Primrose St Apt 1
Roslindale, MA 02131-1615
City
Roslindale
State
MA
Zip
02131-1615
Phone Number
818-635-3558

License Information

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 Logan Clark, MS?

The NPI number of Logan Clark, MS is 1215763180. It was assigned on September 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Logan Clark, MS?

Logan Clark, MS is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X).

Where does Logan Clark, MS practice?

The practice location is 11 Primrose St Apt 1, Roslindale, MA 02131-1615. The office can be reached at 818-635-3558 (phone).

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 1215763180 directly on the NPPES registry website.

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