Active NPIIndividual provider

Peggy D Clark, SLP

Speech-Language Pathologist, in Bangor, Maine

NPI Number1821094897
Practice location
6 Telcom Dr, Bangor, ME 04401-3072
Fax
207-941-2852
Last updated
June 15, 2021

Peggy D Clark is a Speech-Language Pathologist, based in Bangor, ME. Peggy D Clark practices in Bangor, ME and has the professional credentials of SLP. The NPI Number for Peggy D Clark is 1821094897 and holds a License No. SP958 (ME). The current practice location address for Peggy D Clark is 6 Telcom Dr, Bangor, ME 04401-3072 and can be reached out via phone at 207-941-2850 and via fax at 207-941-2852.

Provider Profile Details

NPI Number
1821094897
Provider Name
Peggy D Clark
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
6 Telcom Dr, Bangor, ME 04401-3072
Phone Number
207-941-2850
Fax Number
207-941-2852
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2005
Last Update Date
June 15, 2021
Certification Date
June 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Telcom Dr
Bangor, ME 04401-3072
City
Bangor
State
Maine
Zip
04401-3072
Phone Number
207-941-2850
Fax Number
207-941-2852
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-945-5247

License Information

License Number
SP958
License State
ME
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 Peggy D Clark, SLP?

The NPI number of Peggy D Clark, SLP is 1821094897. It was assigned on June 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Peggy D Clark, SLP?

Peggy D Clark, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP958.

Where does Peggy D Clark, SLP practice?

The practice location is 6 Telcom Dr, Bangor, ME 04401-3072. The office can be reached at 207-941-2850 (phone) or 207-941-2852 (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 1821094897 directly on the NPPES registry website.

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