Mikayla Clark

Speech-Language Pathologist · Countryside, IL

Individual Active NPI

NPI number 1497587455

Practice location

9649 W 55TH St
Countryside, IL 60525-3699
Phone
(708) 352-3580
Fax
(708) 352-2715

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NPI record

NPI
1497587455
Entity type
Individual (Type 1)
Enumeration date
August 19, 2024
Last updated
August 19, 2024
Certified
August 19, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

About Mikayla Clark

Mikayla Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 9649 W 55TH St, Countryside, IL 60525-3699. The NPI number 1497587455 was assigned on August 19, 2024 and the record was last updated on August 19, 2024.

Frequently asked questions

What is the NPI number of Mikayla Clark?

The NPI number is 1497587455.

What is the phone number of Mikayla Clark?

The phone number listed for the practice location is (708) 352-3580.

Where is Mikayla Clark located?

9649 W 55TH St, Countryside, IL 60525-3699.

What is the taxonomy code for Mikayla 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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