Clark-Blackmond & Associates LLC
Speech-Language Pathologist, in Wilson, NC. Organization (NPI-2).
NPI number1922599232
StatusActive
Last updated in NPPESMar 13, 2019
Details
- NPI
- 1922599232
- Entity type
- Organization (NPI-2)
- Legal business name
- Clark-Blackmond & Associates LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2018
- Last updated
- Mar 13, 2019
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – |
Practice location
2301 Montgomery Dr WWilson, NC 27893-4476
Phone 919-413-8449
Mailing address
3011 Nc Highway 42 W Ste CWilson, NC 27893-7735
Phone 919-413-8449
Authorized official
Anthony J Clark
Teacher
9194138449
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