Linda Clark

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP 60233938 Issued in WA

Practice address

1201 Galloway St
Steilacoom, WA 98388-3909

Phone

(253) 983-2568

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1851848261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GALLOWAY ST",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983883909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GALLOWAY ST",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983883909",
            "telephone_number": "253-983-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP 60233938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Jean Burgess, LPN
• Nicolette Camacho, M.A.
• Clarice Chartier, COTA/L
• Jennifer Karen Chavez, MEDICAL INTERPRETER
• Julian Michael Chavez, MEDICAL INTERPRETER
• Morgan Clyde, LMT
• Joslynne Rebecca Davidson
• Emily Dinatale, PH.D.
• Kailynn Marie Dolph, MS, ATC, AT/L
• Dr David Lasater OD LLC

• Speech-Language Assistant in Steilacoom, WA
• Providers in Steilacoom, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.