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KELLY BOYD CLARK MS, CCC-SLP
NPI 1093506891
Speech-Language Pathologist in Gibsonville, NC

Active since May 13, 2025
111 PIEDMONT AVE, GIBSONVILLE, NC 27249(336) 901-6152 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Boyd Clark Ms, Ccc-slp NPPES

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

KELLY BOYD CLARK MS, CCC-SLP (NPI 1093506891) is an individual speech-language pathologist provider in Gibsonville, North Carolina, licensed in North Carolina (6586) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1093506891
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY BOYD CLARKCredential: MS, CCC-SLP
Location Address111 PIEDMONT AVEGibsonville, NC 27249-2450
Mailing Address111 Piedmont AveGibsonville, NC 27249-2450 · (336) 901-6152 · Fax (336) 901-6152
Phone(336) 901-6152
Sole ProprietorNo
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1093506891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 6586
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
111 PIEDMONT AVE, Gibsonville, NC 27249
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARELLA PHILLIPS MSW, LCSW
Social Worker (Clinical)
111 PIEDMONT AVE
GIBSONVILLE, NC 27249
Guilford County (336) 449-6150
MS. GAYLE RENEE COMPTON M.S. CCC SLP
Speech-Language Pathologist
111 PIEDMONT AVE
GIBSONVILLE, NC 27249
Guilford County (336) 449-4055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1093506891. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Kelly Clark located?

Kelly Clark practices at 111 Piedmont Ave, Gibsonville, NC 27249. The listed phone number is (336) 901-6152.

What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.