Active NPI
Cheryl Clark, MSLP/CCC
- Speech-Language Pathologist
- Londonderry, NH
National Provider Identifier
1225206121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0908
- Practice address
- 75 Gilcreast Rd Unit 201
Londonderry, NH 03053-3564 - Phone
- (603) 460-4923
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0908 | NH | Primary |
Addresses
Primary practice location
75 Gilcreast Rd Unit 201
Londonderry, NH 03053-3564
Mailing address
34 Lisa Ave
Raymond, NH 03077-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0908 | NH | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1225206121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 LISA AVE",
"city": "RAYMOND",
"state": "NH",
"postal_code": "030772040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 GILCREAST RD UNIT 201",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533564",
"telephone_number": "603-460-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "CHERYL",
"credential": "MSLP/CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "0908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
- Choices Counseling of Londonderry, LLC
- Reid Alec Christie, D.P.M.
- Maureen Christilles, ARNP
- Clarity Community Connections LLC
- Clarity Counseling Associates
- Deborah Clark, M.A., LCMHC
- Natalie Stendahl Clark, MA, MT-BC
- Stephanie Clark, ATC, LAT
- Clear Balance Counseling, P.L.L.C.
- Clear Steps Recovery Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.