TRACY CLARK (NPI# 1528463593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528463593 |
| Entity Type | Individual |
| Full Name | TRACY CLARK |
| Credential | MA, CCC-SLP |
| Practice Address |
6000 Youngstown-warren Rd Tcesc Niles OH 44446 |
| Mailing Address |
10749 Bartholomew Rd Chagrin Falls OH 44023-9084 |
| Practice Telephone | 3305052800 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP 10535 | OH | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386085 | Tracy Ann Clark | Hearing Instrument Specialist | 3389 W Woolbright Rd, Suite A, Boynton Beach, FL 33436-7245 | 2015-09-21 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1831103522 | Tracy Clark | Social Worker | 50 Cypress Dr, Glenville, NY 12302-4344 | 2006-07-28 |
| 1104387687 | Tracy Clark Jr. | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2019-03-27 |
| 1174011670 | Tracy Clark | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-04-30 |
| 1356856801 | Tracy Michelle Clark | Social Worker | 430 Niagara St, Buffalo, NY 14201-1886 | 2017-12-06 |
| 1477907368 | Tracy Clark | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2016-04-18 |
| 1952793051 | Tracy Manning Clark | Dentist | 1500 S Dairy Ashford Rd, Ste. 114, Houston, TX 77077-3854 | 2015-02-26 |
| 1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
| 1770883977 | Tracy Ann Clark | Nurse Anesthetist, Certified Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2010-10-22 |
| Street Address |
6000 YOUNGSTOWN-WARREN RD TCESC |
| City | NILES |
| State | OH |
| Zip Code | 44446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554144 | Chhavi Karir | Student in an Organized Health Care Education/Training Program | 1801 Phoenix Pl, Unit 306, Niles, OH 44446 | 2020-03-27 |
| 1679030746 | Erica Lynne Forney | Massage Therapist | Fizek Fitness (erica’s Touch), 5555 Youngstown Warren Rd, Niles, OH 44446 | 2019-02-26 |
| 1316476690 | Travon Joshua Allen | Respite Care | 124 Summit Ave, Niles, OH 44446 | 2017-06-08 |
| 1326436205 | Cathy J. Carty | Social Worker | 6000 Youngstown - Warren Rd, Trumball County Educational Service Center, Niles, OH 44446 | 2014-12-31 |
| 1881007003 | Cynthia Ann Hoppert | Occupational Therapist | 6000 Youngstown - Warren Road, Niles, OH 44446 | 2014-06-05 |
| 1447688247 | Joyce Ann Agne Jones | Social Worker | 165 East Park Avenue, Niles, OH 44446 | 2013-10-15 |
| 1548508161 | Vicki M Orwig | Pharmacist | 5555 Niles-youngstown Road, Niles, OH 44446 | 2013-01-17 |
| 1558644062 | Rebekah Lee Utsinger | Pharmacist | 5027 Youngstown Rd, Niles, OH 44446 | 2011-09-21 |
| 1134442742 | Edmund Nathaniel Turner | Optometrist | 5320 Youngstown Ave., Niles, OH 44446 | 2010-03-10 |
| 1790930725 | Pedro A Rodriguez | Dentist | 680 Youngstown-warren Rd, Niles, OH 44446 | 2008-11-18 |
| Find all providers in zip 44446 | ||||
| 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 |
|---|---|---|---|---|
| 1386112530 | Chelsea Jane Heitz | Speech-Language Pathologist | 8955 N Greenwood Ave, Niles, IL 60714-1416 | 2018-11-06 |
| 1053824375 | Diane Kosinski | Speech-Language Pathologist | 8200 W Greendale Ave, Niles, IL 60714-2713 | 2017-11-08 |
| 1760906028 | Monica Potempa (maso) | Speech-Language Pathologist | 7132 W Lee St, Niles, IL 60714-2222 | 2017-07-28 |
| 1962939900 | Kathryn L. Fazekas | Speech-Language Pathologist | 960 Frederick St, Niles, OH 44446-2722 | 2017-05-22 |
| 1407300346 | Acacia Parsons | Speech-Language Pathologist | 950 Youngstown Warren Rd Ste A, Niles, OH 44446-4626 | 2016-08-09 |
| 1992168967 | Agata Kuczynska | Speech-Language Pathologist | 7764 N Nora Ave, Niles, IL 60714-4740 | 2016-03-29 |
| 1396143434 | Kara Wert | Speech-Language Pathologist | 6000 Youngstown Warren Rd., Niles, OH 44446-4603 | 2014-12-05 |
| 1619218492 | Candice Fleischmann | Speech-Language Pathologist | 8142 N Farnsworth Dr, Niles, IL 60714-2703 | 2013-03-04 |
| 1710234794 | Ann Marie Kowalski | Speech-Language Pathologist | 8722 N Osceola Ave, Niles, IL 60714-2032 | 2012-08-09 |
| 1225339575 | Nicole Kantzavelos | Speech-Language Pathologist | 9210 N Ashland Ave, Niles, IL 60714-1306 | 2010-11-03 |
| Find all providers in NILES | ||||
Please comment or provide details below to improve the information on TRACY 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.