Sylvia Y Clark, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP001072 Issued in GA

Practice address

106 Pleasant Home Rd Ste 2K
Augusta, GA 30907-0510

Phone

(706) 724-6543

Fax

(206) 350-9023

NPI assigned

Oct 17, 2023

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)

Enrolled

State licenses

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1801678610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLEASANT HOME RD STE 2K",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070510",
            "telephone_number": "706-724-6543",
            "fax_number": "206-350-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLEASANT HOME RD STE 2K",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070510",
            "telephone_number": "706-724-6543",
            "fax_number": "206-350-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SYLVIA",
        "middle_name": "Y",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaela Nicole Clark, LMSW
• Michelle Kipp Clark, APRN
• Monique N Clark
• Robert Milton Clark, DO
• Serena Clark, PHARMD
• Travarius Clark, RBT
• William Little Clark
• Andrea Michelle Clarke, PHARMD
• Charles Sylvester Clarke, M.A
• Kasheita Clarke

• Speech-Language Pathologist in Augusta, GA
• Providers in Augusta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.