PROF. JACKIE LEAH CLARK


Address: 601 S Tool Dr, Tool, TX 75143-1959
Phone: 9034321932

PROF. JACKIE LEAH CLARK (NPI# 1417951484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417951484
Entity Type Individual
Full Name PROF. JACKIE LEAH CLARK
Credential PHD
Practice Address 601 S Tool Dr
Tool
TX 75143-1959
Mailing Address 5038 Creekwood Dr
Flower Mound
TX 75028-1913
Practice Telephone 9034321932
Practice Fax Number 9034320520
Mailing Telephone 9725398558
Mailing Fax Number 2149053022
Enumeration Date 2005-06-08
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX CSHCN 66993 01

Other Providers JACKIE CLARK

NPI Name Taxonomy Address Enumeration
1124474457 Jackie Clark Occupational Therapist 11472 Walden Loop, Parrish, FL 34219-7565 2016-05-05
1790769065 Jackie Harold Clark Sr. Optometrist 1805 N 13th St, Broken Arrow, OK 74012-8256 2005-12-01
1467874107 Jackie Clark Counselor 6130 Elton Ave, Las Vegas, NV 89107-2538 2014-01-15

Office Location

Street Address 601 S TOOL DR
City TOOL
State TX
Zip Code 75143-1959

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780225631 Elizabeth Paige Buell Audiologist 601 S Tool Dr, Tool, TX 75143-1959 2019-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750919437 Antonio Ray Gomez Licensed Vocational Nurse 301 Lakeway Blvd, Tool, TX 75143 2020-03-30
1023147121 Lighted Pathways Health Services, Inc. Registered Nurse 600 E Cedar Creek Parkway, Seven Points, TX 75143 2007-03-05
1235264748 Hms Sleep Lab LLC Clinical Medical Laboratory 606 Seven Points Blvd, 11, Seven Points, TX 75143 2007-02-23
1770625816 Dennise Marie Richardson Physician Assistant 615 E. Cedar Creek Pkwy, Seven Points, TX 75143 2007-02-13
1518061647 Cedar Creek Pharmacy Inc Pharmacist 606 S Seven Points, Suite 7, Seven Points, TX 75143 2006-09-11
1407021017 Hms Sleep Lab LLC Clinical Medical Laboratory 606 Seven Points Blvd, Suite 11, Seven Points, TX 75143 2008-04-24
1720299670 Thomas Ray Anderson Dentist 113 Hwy. 274 S., Kemp, TX 75143-0348 2007-05-24
1780634501 Robert E Emfinger Durable Medical Equipment & Medical Supplies 1224 S Elm St, Kemp, TX 75143-0569 2006-05-11
1558434027 Brookshire Grocery Company Pharmacy 210 S Seven Points Dr, Attention Pharmacy Dept, Seven Points, TX 75143-2000 2006-11-15
1356988422 Pablo Esquivel Jr. Pharmacist 210 S Seven Points Dr, Seven Points, TX 75143-2000 2019-12-07
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780225631 Elizabeth Paige Buell Audiologist 601 S Tool Dr, Tool, TX 75143-1959 2019-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790386969 Holly M Conradt Audiologist 4001 W 15th St Ste 225, Plano, TX 75093-5838 2020-11-04
1841891280 Honor Audiology, LLC Audiologist 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 2020-11-03
1386241701 Melanie Marie Mcqueen Audiologist 3010 Williams Dr Ste 108, Georgetown, TX 78628-2748 2020-10-08
1477150878 Abigail Harkey Audiologist 4315 James Casey St # 300, Austin, TX 78745-3364 2020-10-08
1831706175 Monkey Ears, LLC Audiologist 1140 N Kimball Ave, Southlake, TX 76092-5569 2020-09-30
1578175980 Audrey Breanne Hiner Audiologist 8731 Katy Fwy Ste 200, Houston, TX 77024-1735 2020-08-18
1609494855 Acro Audiology Hearing Care Center Audiologist 540 Oak Centre Dr Ste 220, San Antonio, TX 78258-3937 2020-07-13
1629696562 Hanna Patel Audiologist 11661 Preston Rd Ste 131, Dallas, TX 75230-6191 2020-07-07
1699399667 Maryann Flores Zurrica Audiologist 2101 S. Cynthia, Plex A, Mcallen, TX 78503 2020-06-04
1750905287 Holly Skinner Audiologist 12600 Lockhart Dr, Denton, TX 76207-1760 2020-06-01
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Competitor

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City TOOL
Zip Code 75143

Improve Information

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Dataset Information

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.

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