Amy S. Clark, Speech Language Pathologist,LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

AMY S. CLARK, SPEECH LANGUAGE PATHOLOGIST,LLC

Practice address

129 Colorado Avenue
Pueblo, CO 81004

Phone

(719) 369-6862

Fax

(719) 941-7314

NPI assigned

Oct 12, 2020

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amy S. ClarkNPI 1568766756

Title

Owner/Provider

Phone

(719) 369-6862

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Sue Clark, MS, CCC-SLP

  • Speech-Language Pathologist
  • Pueblo, CO
  • NPI 1568766756
  NPD Authorized official

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1841898053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 COLORADO AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81004",
            "telephone_number": "719-369-6862",
            "fax_number": "719-941-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 COLORADO AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81004",
            "telephone_number": "719-369-6862",
            "fax_number": "719-941-7314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Eagleridge Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810084101",
            "country_code": "US",
            "telephone_number": "719-369-6862",
            "fax_number": "719-941-7314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMY S. CLARK, SPEECH LANGUAGE PATHOLOGIST,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-369-6862",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95037071",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Current Care P.a .
• American Current Care P.a. (Concentra Urgent Care)
• American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
• American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
• Fnu Amritpal Singh, MD
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
• Christopher Anaya, CAS

• Speech-Language Pathologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.