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KRISTA RENAE CLARK M.S. CCC-SLP NPI 1629336490


NPI Information

NPI: 1629336490
Provider Name: KRISTA RENAE CLARK, M.S. CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1011 PROFESSIONAL BLVD
DALTON, GA
ZIP 30720
Phone: (706) 226-4623
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Krista Renae Clark, M.S. CCC-SLP is a speech language pathologist in Dalton, 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. Krista Renae Clark, M.S. CCC-SLP NPI is 1629336490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1011 PROFESSIONAL BLVD
DALTON, GA
ZIP 30720-506
Phone: (706) 226-4623

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.


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 PathologistSLP007831GEORGIAYes

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: 11/14/2023

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