Gabrielle Ann Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

722 Issued in AR

Practice address

6601 Phoenix Ave
Suite B
Fort Smith, AR 72903-5092

Phone

(479) 785-9091

Fax

(479) 782-3415

NPI assigned

Mar 12, 2010

Last updated

Mar 12, 2010By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1134442551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "address_2": "SLOT 900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-3620",
            "fax_number": "501-364-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 PHOENIX AVE",
            "address_2": "SUITE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035092",
            "telephone_number": "479-785-9091",
            "fax_number": "479-782-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GABRIELLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Jo Clark, DC
• Brittany Clark
• Christine Clark, LPC
• Cindy Clark, LPN
• Elizabeth Ann Clark, APN
• Jenna Clark, MS, RD, LD, CPT
• Joshua A Clark, M.D.
• Rebecca Clark, COTA
• Scott Matthew Clark, DC
• Terry L Clark, MD

• Speech-Language Pathologist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.