Michelle Clark, is a
Speech-language Pathologist based in Summerton, South Carolina. Michelle Clark is licensed to practice in South Carolina (license number 5134) and her current practice location is
1527 Urbana Rd, Summerton, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 485-2317.
NPI number for Michelle Clark is 1912364191 and her current mailing address is 1329 Jamie Ln, Homewood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912364191.
Healthcare Provider's Profile
Full Name | Michelle Clark |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1527 Urbana Rd, Summerton, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912364191
- Provider Enumeration Date: 01/20/2016
- Last Update Date: 01/20/2016
Medical Identifiers
Medical identifiers for Michelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912364191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 5134 (South Carolina) | Primary |
235Z00000X | Speech-language Pathologist | 146011174 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Clark, 1329 Jamie Ln, Homewood, IL 60430-4037 Ph: () - | Michelle Clark, 1527 Urbana Rd, Summerton, SC 29148-8929 Ph: (803) 485-2317 |
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