Amanda J Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2010124 Issued in OH

Practice address

8700 Sheridan Road, NW
Thornville, OH 43076

Phone

(740) 743-1303

NPI assigned

Nov 10, 2009

Last updated

Jul 21, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Local School District

  • Local Education Agency (LEA)
  • Thornville, OH
  • NPI 1225165608
  NPD (past)
• Northern Local Schools

  • Local Education Agency (LEA)
  • Thornville, OH
  • NPI 1417197864
  NPD (past)
• Rehab Right, Inc.

  • Physical Therapist
  • Heath, OH
  • NPI 1518094283

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770810954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 7TH ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013791",
            "telephone_number": "740-452-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SHERIDAN ROAD, NW",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "43076",
            "telephone_number": "740-743-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMANDA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "OH",
            "license": "2010124",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2010124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Kay Bliss
• Gregory A Bromley
• Marjorie Bromley
• Chase Smith DDS LLC
• Kristin Cheney
• Kayla Collins
• Harmony Conrad
• Barbara A Cordle
• Theresa P Cornell
• Larry Ira Cowan, D.O.

• Speech-Language Pathologist in Thornville, OH
• Providers in Thornville, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.