Carla Christine Clark, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

106104 Issued in TX

Practice address

3200 Broadway Blvd
Suite 250
Garland, TX 75043-1573

Phone

(214) 497-8709

NPI assigned

Jul 19, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comkey Therapy

  • Speech-Language Pathologist
  • Garland, TX
  • NPI 1497021117
  NPD (past) Authorized official
• Comkey Therapy, PLLC

  • Early Intervention Provider Agency
  • Garland, TX
  • NPI 1043686017

  Speech-Language Pathologist

  NPD (past) Authorized official
• Comkey Therapy PLLC

  • Early Intervention Provider Agency
  • Hartford, CT
  • NPI 1386010346

  Speech-Language Pathologist

  NPD (past) Authorized official
• Comkey Therapy PLLC

  • Early Intervention Provider Agency
  • Hartford, CT
  • NPI 1962878470
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1013205434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494563",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750494563",
            "telephone_number": "972-271-6000",
            "fax_number": "888-755-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD",
            "address_2": "SUITE 250",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431573",
            "telephone_number": "214-497-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CARLA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013205434",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citycare Clinic
• CJ Health and Hospice, Inc
• Joseph Levi Claiborne III, MD
• Claire E Brenner MD PA
• Clara Haven LLC
• Chris A Clark, M.D.
• Carlton K Clarke, M.D.
• Carlton Keith Clarke II, MD
• Beverly Amber Clayton
• Clear Choice Imaging of Garland LLC

• Speech-Language Pathologist in Garland, TX
• Providers in Garland, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.