KATIE CLARK
NPI 1073898797
Speech-Language Pathologist in Peru, NY

Active since October 13, 2011
29 WASHINGTON ST, PERU, NY 12972(518) 593-5632 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katie Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE CLARK (NPI 1073898797) is an individual speech-language pathologist provider in Peru, New York, licensed in New York (013343) and active in the NPI registry since October 2011.Information from the official NPPES registry record, last updated October 13, 2011.

NPPES Registry Identity

NPI1073898797
Entity TypeIndividualFemale
Provider Legal NameKATIE CLARK
Location Address29 WASHINGTON STPeru, NY 12972-2729
Mailing Address29 Washington StPeru, NY 12972-2729
Sole ProprietorYes
Enumeration DateOctober 13, 2011
NPI 1073898797 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Speech-Language Pathologist

Taxonomy 235Z00000X · Speech, Language and Hearing Service Providers

Licensed in NY · 013343

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of… Show more

29 WASHINGTON ST, Peru, NY 12972

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073898797, enumerated as an "individual" on October 13, 2011.

The provider is located at 29 WASHINGTON ST PERU, NY 12972 and the phone number is (518) 593-5632.

Speech-Language Pathologist with taxonomy code 235Z00000X.