Emma Colleen Clarke
Individual provider Active NPI Speech-Language Pathologist · Yulee, FL
NPI 1538059498 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1538059498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SZ12687 (FL)
- Practice address
- 463155 FL-200 Unit 12
Yulee, FL 32097 - Phone
- (904) 849-1625
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ12687 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ12687 | FL | Yes |
Addresses
Primary practice location
463155 FL-200 Unit 12
Yulee, FL 32097
Mailing address
463155 FL-200
Unit 12
Yulee, FL 32097
Phone (904) 849-1625
Other providers in Yulee, FL
- Changing Lives Family Care Florida
- Ashley Chaplinski
- Avery Camille Chisholm
- Claudette Jane Chretien
- Christy Miller LLC
- Coastal Chiropractic Clinic
- Michaela Cogswell
- Jeremy Latron Coleman
- Brooke Sanders Collins
- Terence Roger Collins
All providers in Yulee, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.