LESLIE CLARK (NPI# 1508112921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508112921 |
| Entity Type | Individual |
| Full Name | LESLIE CLARK |
| Credential | M.S. CCC-SLP |
| Practice Address |
185 Charlois Blvd Winston Salem NC 27103-1521 |
| Practice Telephone | 3367250222 |
| Mailing Telephone | 3367250222 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2013-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801156997 | Leslie Joy Clark | Social Worker | 4830 Lakewood Dr Ste 2, Waco, TX 76710-2969 | 2012-05-22 |
| 1316406218 | Leslie Marice Clark | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2019-03-19 |
| 1942766555 | Leslie Clark | Registered Nurse | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2019-02-19 |
| 1538661400 | Leslie B Clark | Physical Therapist | 2901 Ridgelake Drive, Suite 209, Metairie, LA 70002-4922 | 2018-03-06 |
| 1477966695 | Leslie Clark | Dental Hygienist | 2460 Willamette St, Eugene, OR 97405-3169 | 2014-06-05 |
| 1497092704 | Leslie A. Clark | Social Worker | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2013-01-07 |
| 1255676839 | Leslie Ann Clark | Nurse Practitioner | 10000 W Colonial Dr, Ste 386, Ocoee, FL 34761-3400 | 2012-12-07 |
| 1154677011 | Leslie Clark | Physical Therapist | 2744 S 17th St, Wilmington, NC 28412-6606 | 2012-07-30 |
| 1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
| 1467752436 | Leslie Mason Clark | Dietitian, Registered | 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2010-10-25 |
| Street Address |
185 CHARLOIS BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163357 | Nancy Correa | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2005-06-09 |
| 1376140178 | Brooke Hannah Ridings | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-10-05 |
| 1194332866 | Natalie Nicole Railey | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-09-28 |
| 1346859956 | Carly Breanna Spainhour | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-07-29 |
| 1952910564 | Katherine Martin Matador | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-07-29 |
| 1609485283 | Ryann Alexandra Bateman | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-07-29 |
| 1811506413 | Haley Anne Marie Hendrix | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-07-29 |
| 1851900450 | Meredith Ashley Bowles | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-07-29 |
| 1063037158 | Adrien Anneliese Moody | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-06-15 |
| 1497370894 | Ellen Scarff Osswald | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1285241679 | Rebecca Latterman | Speech-Language Pathologist | 1085 Richmond Park Dr, Winston Salem, NC 27103-5384 | 2020-09-29 |
| 1114538568 | Rachael E Campbell | Speech-Language Pathologist | 315 Crowne View Dr, Winston Salem, NC 27106-4046 | 2020-08-10 |
| 1811454762 | Katherine M Romberger | Speech-Language Pathologist | 2457 Stratford Crossing Dr, Winston Salem, NC 27103-6567 | 2019-02-27 |
| 1528550696 | Kathleen Mathias | Speech-Language Pathologist | 3120 Prytania Rd, Winston Salem, NC 27106-5021 | 2018-06-04 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1134653637 | Elizabeth Long | Speech-Language Pathologist | 307 Upton St, Winston Salem, NC 27103-1735 | 2017-04-12 |
| 1528502267 | Benchmark Physical Therapy of Nc, LLC | Speech-Language Pathologist | 5054 Peters Creek Pkwy, Ste 18, Winston Salem, NC 27127-7276 | 2016-12-15 |
| 1104378900 | Play With Words: Speech and Language Therapy, Pllc | Speech-Language Pathologist | 2896 Shiloh Church Rd, Winston Salem, NC 27105-9742 | 2016-10-27 |
| 1750830154 | Maria Xenikakis | Speech-Language Pathologist | 2055 Bethany Trace Ln, Winston Salem, NC 27127-6843 | 2016-09-26 |
| 1891248100 | Angelique Dayton | Speech-Language Pathologist | 185 Charlois Bld, Winston Salem, NC 27103-1521 | 2016-08-03 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| 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.