JOHN RUSSELL CLARK (NPI# 1831417922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831417922 |
| Entity Type | Individual |
| Full Name | JOHN RUSSELL CLARK |
| Credential | MS SLPCCC |
| Practice Address |
7811 Cobden Rd Laverock PA 19038-7257 |
| Practice Telephone | 2152332504 |
| Practice Fax Number | 2152332504 |
| Mailing Telephone | 2152332504 |
| Mailing Fax Number | 2152332504 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SL006211L | PA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890672 | John Douglas Clark Jr. | Family Medicine | 54 Meadowbrook Cir, Brevard, NC 28712-8543 | 2019-06-18 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| 1871909986 | John Clark | Internal Medicine | 740 Bethlehem Pike, Flourtown, PA 19031-1318 | 2014-07-09 |
| 1831444017 | John Arnot Clark | Dermatology | 1849 Mission Ridge Road, Santa Barbara, CA 93103-1857 | 2012-07-13 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1841580586 | John Alan Clark | Pharmacist | 1900 Argillite Rd, Flatwoods, KY 41139-1616 | 2011-04-14 |
| 1740586932 | John Casey Clark | Occupational Therapist | 448 Lewis Hargett Cir, Suite 100, Lexington, KY 40503-3594 | 2011-02-04 |
| 1023327921 | John M Clark | Social Worker | 3528 Manchester Rd, Wantagh, NY 11793-3010 | 2010-09-27 |
| 1518151513 | John M Clark | Physical Therapist | 1202 Se 6th St, Wagoner, OK 74467-6316 | 2007-09-02 |
| 1164625653 | John Glenn Clark | Orthopaedic Surgery | 111 Whiskeag Rd, Bath, ME 04530-4127 | 2007-06-11 |
| Street Address |
7811 COBDEN RD |
| City | LAVEROCK |
| State | PA |
| Zip Code | 19038-7257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639723042 | Kristen Lea Badawy | Nurse Practitioner | 910 East Willow Grove, Wyndmoor, PA 19038 | 2019-07-25 |
| 1437634581 | Francis Anthony Angiolillo | Physical Therapist | 417 Montier Rd, Glenside, PA 19038 | 2018-09-25 |
| 1760972277 | Eminence Home Care LLC | In Home Supportive Care | 32541 Chestnut St, #800, Philadelphia, PA 19038 | 2018-05-10 |
| 1346764875 | Carly Michel Mcdade | Marriage & Family Therapist | 629 Bethlehem Pike, Erdenheim, PA 19038 | 2017-07-26 |
| 1639606015 | Leslie Aurino | Acupuncturist | 7817-b Queen Street, Wyndmoor, PA 19038 | 2017-05-17 |
| 1255765962 | Albert Vincent La Rocca | Dentist | 111 N. Easton Rd., Glenside, PA 19038 | 2013-08-29 |
| 1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
| 1588895817 | Marie C. Kelly-tralies | Nurse Practitioner | 2704 Spear Ave, Glenside, PA 19038 | 2009-08-04 |
| 1477781946 | James P. Soulges | Family Medicine | 7607 Louise Lane, Glenside, PA 19038 | 2009-06-23 |
| 1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
| Find all providers in zip 19038 | ||||
| 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 |
|---|---|---|---|---|
| 1710291414 | Ashley Sierra Cage | Speech-Language Pathologist | 7827 Deer Run Rd, Laverock, PA 19038-7223 | 2010-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043390 | Haley White | Speech-Language Pathologist | 716 N Bethlehem Pike Ste 103, Lower Gwynedd, PA 19002-2656 | 2020-11-05 |
| 1841891975 | Devin Jill Kuronya | Speech-Language Pathologist | 1471 1st St, Bethlehem, PA 18020-6426 | 2020-11-04 |
| 1265032395 | Amanda Chalofsky | Speech-Language Pathologist | 760 Newtown Yardley Rd Ste 121, Newtown, PA 18940-4500 | 2020-10-28 |
| 1942808894 | Jessica Lynn Walls | Speech-Language Pathologist | 2574 Hogback Hill, Mineral Springs, PA 16855 | 2020-10-13 |
| 1821696931 | Abigail Stern | Speech-Language Pathologist | 4827 Umbria St, Philadelphia, PA 19127-1916 | 2020-10-12 |
| 1972100386 | Brittany Furnari | Speech-Language Pathologist | 220 Jameson Way, Seven Fields, PA 16046-4336 | 2020-10-08 |
| 1427655885 | Nicole Crinella | Speech-Language Pathologist | 1232 Livey St, Archbald, PA 18403-2334 | 2020-10-07 |
| 1679170468 | Help Me Grow Therapeutic Services, LLC | Speech-Language Pathologist | 310 N Lehigh St, Tamaqua, PA 18252-1126 | 2020-10-05 |
| 1750988754 | Jennifer M Lisberger | Speech-Language Pathologist | 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 | 2020-10-04 |
| 1942807102 | On Your Voice LLC | Speech-Language Pathologist | 835 Rock Ln, Elkins Park, PA 19027-1213 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.