DANA LYNN CLARK (NPI# 1750620381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750620381 |
| Entity Type | Individual |
| Full Name | DANA LYNN CLARK |
| Credential | SLPA |
| Practice Address |
9303 Sandridge Rd Long Beach WA 98631-5102 |
| Practice Telephone | 3606420512 |
| Mailing Telephone | 3606420512 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SP 60198505 | WA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750314647 | Dana Elmore Clark | Chiropractor | 10780 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-7614 | 2006-07-07 |
| 1033764121 | Dana Clark | Acupuncturist | 13035 W Linebaugh Ave, Tampa, FL 33626-4481 | 2019-08-06 |
| 1740743301 | Dana Clark | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2019-04-10 |
| 1487110110 | Dana C Clark | Licensed Practical Nurse | 5735 Durand Ave, Mount Pleasant, WI 53406-5011 | 2019-02-19 |
| 1013438258 | Dana Clark | Physical Therapy Assistant | 1650 Phillips Rd, Tallahassee, FL 32308-5304 | 2017-06-28 |
| 1083066310 | Dana Maria Clark | Physician Assistant | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 | 2016-07-11 |
| 1306252853 | Dana Clark | Chiropractor | 6420 Dobbin Rd, Suite A, Columbia, MD 21045-4749 | 2014-07-05 |
| 1770820110 | Dana Michele Clark | Nurse Practitioner | 2851 El Camino Ave, Suite 101, Las Vegas, NV 89102-4266 | 2013-01-04 |
| 1134413503 | Dana Marie Clark | Counselor | 403 N Clarence Nash Blvd, Watonga, OK 73772-3636 | 2011-06-02 |
| 1992894364 | Dana Clark | Family Medicine | 1100 W 34th St, Houston, TX 77018-6206 | 2006-10-12 |
| Street Address |
9303 SANDRIDGE RD |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184100042 | Natalie Gardner | Specialist/Technologist | 105 Roswell Ave Apt 3, Long Beach, CA 90803-7621 | 2018-07-13 |
| 1922519347 | Melissa Munoz | Specialist/Technologist | 235 E Broadway Ste 210, Long Beach, CA 90802-7806 | 2017-10-12 |
| 1750802898 | Natashka S. Jinadasa | Specialist/Technologist | 4300 Long Beach Blvd Ste 760, Long Beach, CA 90807-2025 | 2017-06-28 |
| 1427596139 | Keith Piad | Specialist/Technologist | 343 E 59th St, Long Beach, CA 90805-3405 | 2017-02-02 |
| 1770035958 | Yamileth De Paz | Specialist/Technologist | 2417 Magnolia Ave, Long Beach, CA 90806-2936 | 2016-11-03 |
| 1275939407 | Mary Catherine Newton | Specialist/Technologist | 2902 Knoxville Ave, Long Beach, CA 90815-1522 | 2014-11-17 |
| 1053723189 | Jennifer Dungca | Specialist/Technologist | 3490 Lilly Ave, Long Beach, CA 90808-3213 | 2014-05-23 |
| 1841612710 | Sasha Carranza | Specialist/Technologist | 3125 E 3rd St, Long Beach, CA 90814-2520 | 2014-01-13 |
| 1356681464 | Torri Weese | Specialist/Technologist | 249 East Ocean Blvd #400, Long Beach, CA 90802 | 2013-02-26 |
| 1164776647 | Drisana Medina | Specialist/Technologist | 3620 Long Beach Blvd Ste A2, Long Beach, CA 90807-6015 | 2012-11-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 98631 |
Please comment or provide details below to improve the information on DANA LYNN 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.