Chelby D'Lyn Clark, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6478 Issued in FL

Practice address

2118 Winding Oaks Dr
Palm Harbor, FL 34683-6654

Phone

(727) 251-4466

NPI assigned

May 26, 2017

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1063940682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 COUNTRYSIDE BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 WINDING OAKS DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346836654",
            "telephone_number": "727-251-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHELBY",
        "middle_name": "D'LYN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mark Ciszewski, D.O.
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• Lauren Ciuba, PT
• Kate Claffie, O.D.
• Clarity Counseling Solutions, LLC
• Michelle Clark, PHARMD
• Teresa Ann Clark, FNP-C
• Christopher Thomas Clarke, LMT
• Tygue Clausen, MPH, RDN, CPH
• Clearwater Rolfing LLC

• Speech-Language Pathologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.