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CHARLES SYLVESTER CLARKE M.A NPI 1861653933


NPI Information

NPI: 1861653933
Provider Name: CHARLES SYLVESTER CLARKE, M.A
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual

CLIA Number: 11D2003339

Address:
4033 WHISPERING PINES RD S
AUGUSTA, GA
ZIP 30906
Phone: (706) 796-8743
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Charles Sylvester Clarke, M.A is a speech language pathologist in Augusta, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Charles Sylvester Clarke, M.A NPI is 1861653933. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4033 WHISPERING PINES RD S
AUGUSTA, GA
ZIP 30906-138
Phone: (706) 796-8743

The CLIA number assigned to this NPI record is 11D2003339 - other - jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2008 and was last updated on 6/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist4315SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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