Amber Clark, MS, CCC-SLP

Speech-Language Pathologist · Lebanon, KY

Individual Active NPI

NPI number 1710247846

Practice location

60 W Calvary Dr
Lebanon, KY 40033-8421
Phone
(270) 779-4143

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NPI record

NPI
1710247846
Entity type
Individual (Type 1)
Enumeration date
May 23, 2012
Last updated
June 10, 2020
Certified
June 10, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 140756 KY
Speech-Language Pathologist 235Z00000X 12-001 KY

Other practice locations (1)

  • 105 Laura Sue Humphress Dr, Campbellsville, KY 42718-8899 · (270) 465-7768

About Amber Clark

Amber Clark, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 60 W Calvary Dr, Lebanon, KY 40033-8421. The NPI number 1710247846 was assigned on May 23, 2012 and the record was last updated on June 10, 2020.

Amber Clark lists 2 licenses in the registry: #140756 (KY) for Speech-Language Pathologist; #12-001 (KY) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amber Clark, MS, CCC-SLP?

The NPI number is 1710247846.

What is the phone number of Amber Clark?

The phone number listed for the practice location is (270) 779-4143.

Where is Amber Clark located?

60 W Calvary Dr, Lebanon, KY 40033-8421.

What is the taxonomy code for Amber Clark?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

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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