Katherine Clark, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005392 Issued in MI

Practice address

1920 Godfrey Ave SW
Wyoming, MI 49509-1415

Phone

(616) 243-0533

NPI assigned

Sep 18, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1033021761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 OAKLAWN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053754",
            "telephone_number": "616-481-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 GODFREY AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495091415",
            "telephone_number": "616-243-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Global Medical Healthcare, Incorporated
• Mary Ann Christopher, NNP
• Grace Christopherson, DO
• Vanessa Clarey, PTA
• Clareza Counseling LLC
• Jeremiah Gordon Clarke, DC
• Joshua Clements
• Carly Cleveland, COTA
• Anne Clocklin
• Erin Elizabeth Clover, PA-C

• Speech-Language Pathologist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.