Mary Clarke, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Newark, DE
NPI 1063195048 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1063195048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- O1-0012260 (DE)
- Practice address
- 560 Peoples PLZ Ste 142
Newark, DE 19702-4798 - Phone
- (302) 542-1481
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0012260 | DE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Delaware Speech-Language Pathology, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O1-0012260 | DE | Yes |
Addresses
Primary practice location
560 Peoples PLZ Ste 142
Newark, DE 19702-4798
Mailing address
560 Peoples PLZ Ste 142
Newark, DE 19702-4798
Phone (302) 542-1481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250719088 | Medicaid | DE |
Other providers in Newark, DE
- Sophia Cisler
- Arthur L Clark
- Kimberly S Clark
- Monet L Clark
- Samuel Clark
- Anthony W Clay
- Caragh Clayton
- Charles Paul Clements III
- Lydia I. Clements
- Kayla Clevenger
All providers in Newark, DE · Speech-Language Pathologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.