Patricia Clarke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60521575 Issued in WA

Practice address

14015 62ND Ave NW
Gig Harbor, WA 98332-8607

Phone

(253) 350-3143

NPI assigned

Jan 23, 2015

Last updated

Jan 23, 2015By 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

State licenses

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1396135737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 62ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 62ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328607",
            "telephone_number": "253-350-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60521575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CJ C Jang (Rosedale Sleep Dentistry)
• CJ C Jang DDS PLLC (rosedale dental)
• Margaret R Clair, LMHC
• Douglas Alan Clarke, DDS
• Gay Clarke
• Ellen Ann Cleary-Penninger, MSW, LICSW
• Mary Louise Clement, ND
• Rebecca Clock, LCSW, LICSW
• Co-Vision Wellness, Inc
• Courtney Rae Coady, LMP

• Speech-Language Pathologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.