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SHANNON CLARK
NPI 1114255734
Specialist/Technologist - Speech-Language Assistant in Round Rock, TX

Active since November 19, 2009
1208 IH 35 N STE Q, ROUND ROCK, TX 78681(512) 310-7665(512) 310-9228 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Clark NPPES

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

SHANNON CLARK (NPI 1114255734) is an individual speech-language assistant in Round Rock, Texas, licensed in Texas (35304) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1114255734
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameSHANNON CLARK
Location Address1208 IH 35 N STE QRound Rock, TX 78681-4204
Mailing Address1208 Ih 35 N Ste QRound Rock, TX 78681-4204 · (512) 310-7665 · Fax (512) 310-9228
Phone(512) 310-7665
Fax(512) 310-9228
Sole ProprietorNo
Enumeration DateNovember 19, 2009
✔ NPI 1114255734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in TX · 35304
1208 IH 35 N STE Q, Round Rock, TX 78681
Open in Google Maps ↗

Other Identifiers 4

Other74-2745294Tax Id
Other0031DGBlue Cross Blue Shield
Medicare OSCAR/certification456890
Medicaid0944746-02TX

Other Providers at the Same Location NPPES 10

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

NELDA CARRANZA
Physical Therapy Assistant
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665
MARTHA E UNLAND
Specialist/Technologist (Speech-Language Assistant)
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665
KAREN ODETTE
Physical Therapy Assistant
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665
MY-HUONG ELSA BUI PT, MPT
Physical Therapist
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665
DONNA ROBLES
Physical Therapist
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665
MICHAEL LARRINAGA
Physical Therapist
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665
STACEY DIAZ
Physical Therapy Assistant
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665
KIMBERLY PREVITI
Specialist/Technologist (Speech-Language Assistant)
1208 IH 35 N STE Q
ROUND ROCK, TX 78681
Williamson County (512) 310-7665

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 Shannon Clark's NPI number?

The NPI number for Shannon Clark is 1114255734. It was assigned to this individual provider in the NPPES registry on November 19, 2009.

Where is Shannon Clark located?

Shannon Clark practices at 1208 Ih 35 N Ste Q, Round Rock, TX 78681. The listed phone number is (512) 310-7665.

What is Shannon Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on November 19, 2009. 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.