MICHELLE GRACE CLARK (NPI# 1275935124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275935124 |
| Entity Type | Individual |
| Full Name | MICHELLE GRACE CLARK |
| Credential | MHS, CCC-SLP |
| Practice Address |
640 Nw Jefferson St Grain Valley MO 64029-8278 |
| Mailing Address |
620 Nw Yennie St Apt. 314 Grain Valley MO 64029-9362 |
| Practice Telephone | 8168478279 |
| Mailing Telephone | 5732895040 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2014020191 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078947 | Michelle Jean Clark | Counselor | 318 S Welborn St Ste C, Hinesville, GA 31313-3127 | 2020-09-21 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1215488168 | Michelle Allison Clark | Nurse Practitioner | 413 Glenbrook Rd, 9, Stamford, CT 06906-2126 | 2016-10-16 |
| 1174995120 | Michelle Annette Clark | Massage Therapist | 1935 S I St Apt A, Apt A, Tacoma, WA 98405-3879 | 2015-10-28 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1245620822 | Michelle Clark | Technician, Other | 715 Briar Hill Ln, Saginaw, MI 48609-5005 | 2015-02-03 |
| 1578987533 | Michelle Clark | Kinesiotherapist | 4573 Normandie Pl, La Mesa, CA 91942-8502 | 2014-02-12 |
| 1457624686 | Michelle Clark | Occupational Therapist | 6276 Jackie Ave, Woodland Hills, CA 91367-1422 | 2012-02-19 |
| 1922302967 | Michelle Clark | Occupational Therapist | 1930 Circle of Hope Dr Fl 2, Salt Lake City, UT 84132-0001 | 2011-01-05 |
| 1972813517 | Michelle Ann Clark | Marriage & Family Therapist | 10904 57th St Ne Ste 106, Albertville, MN 55301-4654 | 2010-10-18 |
| Street Address |
640 NW JEFFERSON ST |
| City | GRAIN VALLEY |
| State | MO |
| Zip Code | 64029-8278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023205671 | Stacee Newsom | Physical Therapist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2007-09-27 |
| 1437501251 | Caitlin Robinson | Physical Therapist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2016-07-05 |
| 1366863995 | Nicole Carrillo | Speech-Language Pathologist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2013-12-28 |
| 1124453014 | Monica R Carrier | Occupational Therapist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2013-09-10 |
| 1841554532 | Vanessa Sue Coonce | Speech-Language Pathologist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2012-06-27 |
| 1518261320 | Starz Pediatric Therapy Network | Clinic/Center | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1336655299 | Cosentino Enterprises Inc | Pharmacy | 1191 Ne Mcquerry Road, Grain Valley, MO 64029 | 2017-12-14 |
| 1427238922 | Tracy Dee Dryer | Pharmacist | 301 Sw Eagle's Parkway, Grain Valley, MO 64029 | 2007-11-13 |
| 1184822736 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1800 Nw Duncan Rd, Grain Valley, MO 64029 | 2007-07-05 |
| 1740486711 | Re-new Life | Counselor | 33204 E. R.d. Mize Road, Grain Valley, MO 64029 | 2007-06-26 |
| 1891822524 | Julia Rachele Loecker | Dentist | 1424 Sw Eagles Parkway, Grain Valley, MO 64029 | 2007-02-28 |
| 1578667192 | Bds Pharmaceutical Inc | Pharmacy | 1400 Sw Eagles Parkway, Grain Valley, MO 64029 | 2006-09-12 |
| 1376575480 | Kurt Frederick Hanneman | Dentist | 655 R.d. Mize Road, Grain Valley, MO 64029 | 2006-07-07 |
| 1144832569 | Crosetti Health and Wellness | Pharmacy | 510 N Main St, Grain Valley, MO 64029 | 2020-08-18 |
| 1528273471 | Katrina Marie Tarpenning | Pharmacist | 1400 Sw Eagles Pkwy, Grain Valley, MO 64029 | 2007-05-14 |
| Find all providers in zip 64029 | ||||
| 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 |
|---|---|---|---|---|
| 1205382660 | Jacqueline Roberts-murphy | Speech-Language Pathologist | 31606 E Pink Hill Rd, Grain Valley, MO 64029-9296 | 2016-08-26 |
| 1992175210 | Ryan Mcgee | Speech-Language Pathologist | 31606 N.e. Pink Hill Rd, Grain Valley, MO 64029-0304 | 2015-09-29 |
| 1447527296 | Katie R Craddock | Speech-Language Pathologist | 31606 N.e. Pink Hill Road, Grain Valley, MO 64029-0304 | 2011-11-22 |
| 1053518464 | Amy L Mcdonald | Speech-Language Pathologist | 608 Sw Nelson Dr, Grain Valley, MO 64029-9043 | 2007-06-29 |
| 1598307266 | Megan Jamieson | Speech-Language Pathologist | 31606 E Pink Hill Rd, Grain Valley, MO 64029-9296 | 2019-10-14 |
| 1790284321 | Carolyn West | Speech-Language Pathologist | 31606 E Pink Hill Rd, Grain Valley, MO 64029-9296 | 2018-02-09 |
| 1225537855 | Brandy Mosier | Speech-Language Pathologist | 31606 E Pink Hill Rd, Grain Valley, MO 64029-9296 | 2018-02-09 |
| 1427428747 | Kellie Summers | Speech-Language Pathologist | 31606 N.e. Pink Hill Road, Grain Valley, MO 64029-0304 | 2015-09-29 |
| 1366863995 | Nicole Carrillo | Speech-Language Pathologist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2013-12-28 |
| 1841554532 | Vanessa Sue Coonce | Speech-Language Pathologist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2012-06-27 |
| Find all providers in GRAIN VALLEY | ||||
| City | GRAIN VALLEY |
| Zip Code | 64029 |
Please comment or provide details below to improve the information on MICHELLE GRACE 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.