Leah Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002227 Issued in IA

Practice address

31 Penfro Dr
Iowa City, IA 52246-4927

Phone

(641) 512-5950

NPI assigned

Aug 25, 2014

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

Other names 1

• Leah Seltun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1053711218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PENFRO DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464927",
            "telephone_number": "641-512-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PENFRO DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464927",
            "telephone_number": "641-512-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "002227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "SELTUN",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Marie Clark, MD
• Jennifer Clark, MA, CRC, LMHC
• Jennifer Lynn Clark
• Julie Marie Doran Clark, LISW
• Kaitlyn Clark, MS, LGC
• Natasha Leigh Clark, ARNP
• Stephanie Y Clark, CPNP
• Steven Donald Clark, PT
• Steven Heyen Clark, DDS
• Tacie A Clark

• Speech-Language Pathologist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.