Active NPIIndividual provider

Grace T Clark, SLP

Speech-Language Pathologist, in Upper Saddle River, New Jersey

NPI Number1932531274
Practice location
3 Rambling Brook RD, Upper Saddle River, NJ 07458-1110
Fax
—
Last updated
September 23, 2020

Grace Teresa Clark is a Speech-Language Pathologist, based in Upper Saddle River, NJ. Grace Teresa Clark practices in Upper Saddle River, NJ and has the professional credentials of SLP. The NPI Number for Grace Teresa Clark is 1932531274 and holds a License No. 41YS00963000 (NJ). The current practice location address for Grace Teresa Clark is 3 Rambling Brook RD, Upper Saddle River, NJ 07458-1110 and can be reached out via phone at 201-701-3291.

Provider Profile Details

NPI Number
1932531274
Provider Name
Grace Teresa Clark
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
3 Rambling Brook RD, Upper Saddle River, NJ 07458-1110
Phone Number
201-701-3291
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2013
Last Update Date
September 23, 2020
Certification Date
September 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Rambling Brook RD
Upper Saddle River, NJ 07458-1110
Zip
07458-1110
Phone Number
201-701-3291
Upper Saddle River, NJ 07458Get directions →

Provider Business Mailing Address Details

Address
3 Rambling Brook RD
Upper Saddle River, NJ 07458-1110
City
Upper Saddle River
State
NJ
Zip
07458-1110
Phone Number
201-701-3291

License Information

License Number (1)
41YS00963000
License State (1)
NJ
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
028547
License State (2)
NY
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
2013022061
License State (3)
MO
Taxonomy (3)
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 Grace T Clark, SLP?

The NPI number of Grace T Clark, SLP is 1932531274. It was assigned on August 8, 2013 and is currently active in the NPPES registry.

What is the specialty of Grace T Clark, SLP?

Grace T Clark, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00963000.

Where does Grace T Clark, SLP practice?

The practice location is 3 Rambling Brook RD, Upper Saddle River, NJ 07458-1110. The office can be reached at 201-701-3291 (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 1932531274 directly on the NPPES registry website.

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