MRS. CONSTANCE M CLARK (NPI# 1205140647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205140647 |
| Entity Type | Individual |
| Full Name | MRS. CONSTANCE M CLARK |
| Credential | SLP |
| Practice Address |
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277 |
| Mailing Address |
Po Box 2603 Htn, Client Accounting Fort Worth TX 76113-2603 |
| Practice Telephone | 8175694395 |
| Practice Fax Number | 8175694517 |
| Mailing Telephone | 8175694395 |
| Mailing Fax Number | 8175694517 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 103836 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 103836 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912403619 | Constance Michelle Clark | Counselor | 4951 Central Ave, Monroe, LA 71203 | 2018-04-02 |
| 1497116644 | Constance Clark | Registered Nurse | 2792 S 2nd St, Suite B, Cabot, AR 72023-7020 | 2016-03-16 |
| Street Address |
3840 HULEN ST HTN, CLIENT ACCOUNTING |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-7277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1174134696 | Meagan Reyneveld | Speech-Language Pathologist | 405 Crawford St Apt 2330, Fort Worth, TX 76104-1395 | 2020-08-10 |
| 1639794902 | Sarah Mayorga | Speech-Language Pathologist | 3645 Gray St Apt 1209, Fort Worth, TX 76177-1721 | 2020-06-12 |
| 1417579558 | Fort Worth Children's Speech and Feeding Therapy, Pllc | Speech-Language Pathologist | 3631 S Hills Ave, Fort Worth, TX 76109-2754 | 2020-05-12 |
| 1518588201 | Korynn Apodaca | Speech-Language Pathologist | 704 Dale Ln Apt 124, Fort Worth, TX 76108-2659 | 2020-05-04 |
| 1487288544 | Robert J Wincowski | Speech-Language Pathologist | 6913 Camp Bowie Blvd Ste 121, Fort Worth, TX 76116-7164 | 2020-02-27 |
| 1154952687 | Shelby Reed | Speech-Language Pathologist | 411 Harrold St Apt 1273, Fort Worth, TX 76107-3141 | 2020-02-03 |
| 1114562857 | Hilary Byatt | Speech-Language Pathologist | 10357 Alta Vista Rd Unit 351, Fort Worth, TX 76244-6559 | 2019-11-15 |
| 1104468156 | Marianne Brawner | Speech-Language Pathologist | 4216 Sarita Dr, Fort Worth, TX 76109-4746 | 2019-10-10 |
| 1801444005 | Kristin Kirkley | Speech-Language Pathologist | 1604 Dakar Rd W, Fort Worth, TX 76116-1818 | 2019-08-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on MRS. CONSTANCE M CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.