Jillian Clark, MA

Speech-Language Pathologist · Hazel Park, MI

Individual Active NPI

NPI number 1194634501

Practice location

1620 E Elza Ave
Hazel Park, MI 48030-2358
Phone
(248) 658-5200

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NPI record

NPI
1194634501
Entity type
Individual (Type 1)
Enumeration date
September 2, 2026
Last updated
September 2, 2026
Certified
September 2, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

4079 Waterwheel Ln
Bloomfield Hills, MI 48302-1871

About Jillian Clark

Jillian Clark, MA is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1620 E Elza Ave, Hazel Park, MI 48030-2358. The NPI number 1194634501 was assigned on September 2, 2026 and the record was last updated on September 2, 2026.

Frequently asked questions

What is the NPI number of Jillian Clark, MA?

The NPI number is 1194634501.

What is the phone number of Jillian Clark?

The phone number listed for the practice location is (248) 658-5200.

Where is Jillian Clark located?

1620 E Elza Ave, Hazel Park, MI 48030-2358.

What is the taxonomy code for Jillian Clark?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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