Matthew Ryan Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

95 Mahalani St
#19A
Wailuku, HI 96793-2521

Phone

(808) 244-7467

Fax

(808) 242-5835

NPI assigned

Oct 2, 2009

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1104151505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST",
            "address_2": "#19A",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-244-7467",
            "fax_number": "808-242-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST",
            "address_2": "#19A",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-244-7467",
            "fax_number": "808-242-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher K Taleghani MD LLC
• Kristy C Chun, DPT
• Christopher L. Chung, M.D.
• Kira Chung, PHARMD
• Paul Chung, DMD
• Steve Edward Clark, M.D.
• Michael Ellsworth Clarke, DDS MS
• Cristina Marie Clemens, MS CCC SLP
• Krista Cobb, RBT
• Brooklyn Cochrane, MD

• Speech-Language Pathologist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.