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Kristen Michaela Clark

Speech-Language Pathologist, in Glen Cove, NY. Individual provider (NPI-1).

NPI number1740927326
StatusActive
Last updated in NPPESMay 16, 2022

Details

NPI
1740927326
Entity type
Individual (NPI-1)
Name
Kristen Michaela Clark
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2022
Certification date
May 16, 2022
Last updated
May 16, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

25 N Yew St
Glen Cove, NY 11542-1435

Phone 516-669-0434

Mailing address

6 Calvert Dr
Syosset, NY 11791-2905

Phone 516-364-1829

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist providers in Glen Cove, NY

All 32 Speech-Language Pathologist providers in Glen Cove · All 951 providers in Glen Cove

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