Wendy L. Clark, MSCCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Beebe, AR
NPI 1710135504 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1710135504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1722 (AR)
- Practice address
- 133 N Main St
Beebe, AR 72012-3045 - Phone
- (501) 882-3852
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 1722 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilbur Mills Early Childhood | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1722 | AR | Yes |
Addresses
Primary practice location
133 N Main St
Beebe, AR 72012-3045
Mailing address
PO Box 850
Beebe, AR 72012-0850
Phone (501) 882-3852
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140673721 | Medicaid | AR |
Other providers in Beebe, AR
- Calista Calhoon
- Alyssa Nicole Casey
- Chiroflex, LLC
- Haleigh Nicole Churchwell
- Dixie Elizabeth Clairday
- Leah E Cooper
- Daphne Elaine Crider-West
- Raelena Lee Crooks
- Lyndsey Crowe
- Jennifer Alissa Curtis
All providers in Beebe, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. 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.