MS. RAYNELL THERESA CLARK M.A. CCC-SLP
NPI 1114248630
Speech-Language Pathologist in Southfield, MI

Q: What is Raynell Clark's NPI number?

The NPI number for Raynell Clark is 1114248630. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Q: What is Raynell Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raynell Clark was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.

Active since June 18, 2010

25281 LOIS LN, SOUTHFIELD, MI 48075(248) 227-4080 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Raynell Theresa Clark M.a. Ccc-slp NPPES

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

MS. RAYNELL THERESA CLARK M.A. CCC-SLP (NPI 1114248630) is an individual speech-language pathologist provider in Southfield, Michigan and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1114248630

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. RAYNELL THERESA CLARKCredential: M.A. CCC-SLP

Location Address25281 LOIS LNSouthfield, MI 48075-6159

Mailing Address25281 Lois LnSouthfield, MI 48075-6159 · (248) 227-4080

Phone(248) 227-4080

Sole ProprietorYes

Enumeration DateJune 18, 2010

Last NPPES UpdateJune 24, 2010

✔ NPI 1114248630 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

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.

25281 LOIS LN, Southfield, MI 48075

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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 Raynell Clark's NPI number?

The NPI number for Raynell Clark is 1114248630. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Raynell Clark located?

Raynell Clark practices at 25281 Lois Ln, Southfield, MI 48075. The listed phone number is (248) 227-4080.

What is Raynell 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 Raynell Clark was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.