AMBER CLARK (NPI# 1710247846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710247846 |
| Entity Type | Individual |
| Full Name | AMBER CLARK |
| Credential | MS, CCC-SLP |
| Practice Address |
60 W Calvary Dr Lebanon KY 40033-8421 |
| Practice Telephone | 2707794143 |
| Mailing Telephone | 2707794143 |
| Mailing Fax Number | 8593360380 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 140756 | KY | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 12-001 | KY | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Laura Sue Humphress Dr, Campbellsville, KY 427188899 | 2704657768 | 2704650068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567864 | Amber Mariah Clark | Counselor | 4 Carriage Ln Ste 405, Charleston, SC 29407-6024 | 2020-01-10 |
| 1992358485 | Amber Clark | Nurse Practitioner | 1254 Homer City Way, Pooler, GA 31322-3320 | 2019-07-23 |
| 1073088126 | Amber Clark | Behavioral Analyst | 1818 Kingston Hwy Se, Rome, GA 30161-7504 | 2018-10-04 |
| 1083104624 | Amber Clark | Registered Nurse | 2019 Pine Knot Dr, Heartland, TX 75126-8284 | 2018-05-17 |
| 1942737499 | Amber Clark | Dentist | 1232 N Commerce Dr, Saratoga Springs, UT 84045-4713 | 2017-05-15 |
| 1609011592 | Amber S Clark | Speech-Language Pathologist | 898 Sw Fourth Ave., Ontario, ID 97914-2693 | 2008-12-08 |
| 1821638537 | Amber Michelle Clark | Case Manager/Care Coordinator | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-01-10 |
| 1699326868 | Amber Nicole Clark | Advanced Practice Midwife | 2000 Olathe Blvd, Ms 2028, Kansas City, KS 66160 | 2019-09-27 |
| 1487206439 | Amber Clark | Optometrist | 12182 Highway 92, Woodstock, GA 30188-4885 | 2019-07-10 |
| 1871056200 | Amber Nicole Clark | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2019-04-11 |
| Street Address |
60 W CALVARY DR |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| 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 |
|---|---|---|---|---|
| 1942815048 | Francesca Pendolino | Speech-Language Pathologist | 3 Moulton Ave, Lebanon, NH 03766-1852 | 2020-09-15 |
| 1699396184 | Heather Souza | Speech-Language Pathologist | 193 Hanover St, Lebanon, NH 03766-1090 | 2020-05-06 |
| 1174163943 | Angela Jeanne Cole | Speech-Language Pathologist | 1272 Weathervane Way, Lebanon, OH 45036-7741 | 2020-01-09 |
| 1568011690 | Ann Dorazio | Speech-Language Pathologist | 116 Scenic Ridge Blvd, Lebanon, PA 17042-5818 | 2019-09-11 |
| 1033762356 | Abigail Zurliene | Speech-Language Pathologist | 10937 Sylvan Vista Dr, Lebanon, IL 62254-2334 | 2019-07-17 |
| 1689155988 | Sarah Smith | Speech-Language Pathologist | 533 Indian Creek Rd, Lebanon, KY 40033-1962 | 2018-08-24 |
| 1407336589 | Ashley Cheney | Speech-Language Pathologist | 224 Commercial Street, Lebanon, MO 65536-3260 | 2018-08-17 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1306359633 | Jill Lynn Groom | Speech-Language Pathologist | 1417 Ogles Creek Ct, Lebanon, IL 62254-1834 | 2017-11-08 |
| Find all providers in LEBANON | ||||
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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.