MRS. AMY SUE CLARK (NPI# 1568766756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568766756 |
Entity Type | Individual |
Full Name | MRS. AMY SUE CLARK |
Credential | MS, CCC-SLP |
Practice Address |
6 Erica Ct Pueblo CO 81001-1074 |
Practice Telephone | 7193696862 |
Practice Fax Number | 7199417314 |
Mailing Telephone | 7193696862 |
Mailing Fax Number | 7199417314 |
Enumeration Date | 2011-01-02 |
Last Update Date | 2020-10-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SLP.0000301 | CO | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 95037071 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
1386988194 | Amy J. Clark | Registered Nurse | 731 18th Ave, San Francisco, CA 94121-3824 | 2012-11-16 |
1104121318 | Amy Beth Clark | Nurse Practitioner | 5197 Georgetown Rd, Franklin, PA 16323-4807 | 2011-01-19 |
1124328570 | Amy Leigh Clark | Social Worker | 1950 Trenton St, #412, Denver, CO 80220-2064 | 2010-11-01 |
1437461191 | Amy J Clark | Speech-Language Pathologist | 3609 Western Ave, Mattoon, IL 61938-2040 | 2010-07-10 |
1215257498 | Amy Clark | Occupational Therapy Assistant | 2770 Juniper Dr, Batesville, AR 72501-7801 | 2010-06-10 |
1881818656 | Amy Elizabeth Clark | Speech-Language Pathologist | 1027 Hiland St, Monticello, KY 42633-1370 | 2007-04-12 |
1023188018 | Amy Clark | Physical Therapist | 9381 East Stockton Blvd, Ste 108, Elk Grove, CA 95624 | 2006-11-08 |
1134236631 | Amy Clark | Physical Therapist | 506 Ne State Route 291, Lees Summit, MO 64086-2533 | 2006-08-23 |
1427083690 | Amy Suzanne Clark | Psychologist | 4310 Colby Ave Ste 201, Everett, WA 98203-2338 | 2006-07-12 |
Street Address |
6 ERICA CT |
City | PUEBLO |
State | CO |
Zip Code | 81001-1074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
Find all providers in zip 81001 |
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 |
---|---|---|---|---|
1962015925 | Southern Colorado Speech Therapy, LLC | Speech-Language Pathologist | 2316 De Soto Rd, Pueblo, CO 81003-1844 | 2020-08-28 |
1114541059 | Jacalyn Savage | Speech-Language Pathologist | 225 W Pitkin Ave, Pueblo, CO 81004-1839 | 2020-06-06 |
1417516360 | Kid Talk, LLC | Speech-Language Pathologist | 2 Lupine Ct, Pueblo, CO 81001-1036 | 2019-06-12 |
1407411390 | Lauren Pigott | Speech-Language Pathologist | 16 Chinook Ln, Pueblo, CO 81001-1502 | 2019-05-06 |
1750820775 | Shelly Hewitt | Speech-Language Pathologist | 37530 South Rd, Pueblo, CO 81006-9336 | 2017-02-23 |
1841746336 | Brandon John Larson | Speech-Language Pathologist | 1610 Scranton Ave # 81004, Pueblo, CO 81004-2676 | 2016-08-25 |
1811358534 | Allison C Hawkins | Speech-Language Pathologist | 1208 Eagleridge Blvd, Pueblo, CO 81008-2329 | 2016-03-08 |
1972973287 | Patricia Anne Rose | Speech-Language Pathologist | 704 Fortino Blvd, Suite A, Pueblo, CO 81008-2086 | 2015-09-29 |
1780050773 | Megan Lee Betts | Speech-Language Pathologist | 441 Argyle Ave, Pueblo, CO 81004-1012 | 2015-08-13 |
1366833402 | Sabita Singh | Speech-Language Pathologist | 4747 Eagleridge Cir, Apt 204, Pueblo, CO 81008-2144 | 2015-02-11 |
Find all providers in PUEBLO |
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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.