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DOMINIQUE JOLIE CLARK
NPI 1265678502
Speech-Language Pathologist in Upper Marlboro, MD

Active since December 16, 2008
12201 WALLACE LANDING CT, UPPER MARLBORO, MD 20772(240) 417-9810 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Jolie Clark NPPES

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

DOMINIQUE JOLIE CLARK (NPI 1265678502) is an individual speech-language pathologist provider in Upper Marlboro, Maryland, licensed in Maryland (05036) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1265678502
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDOMINIQUE JOLIE CLARK
Location Address12201 WALLACE LANDING CTUpper Marlboro, MD 20772-7957
Mailing Address681 Beville RdSouth Daytona, FL 32119-1951 · (240) 417-9810
Phone(240) 417-9810
Sole ProprietorYes
Enumeration DateDecember 16, 2008
Last NPPES UpdateAugust 3, 2018
✔ NPI 1265678502 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
Licenses✔ Licensed in MD · 05036✔ Licensed in IL · 146009176✔ Licensed in IN · 22004686A
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.
12201 WALLACE LANDING CT, Upper Marlboro, MD 20772
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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 Dominique Clark's NPI number?

The NPI number for Dominique Clark is 1265678502. It was assigned to this individual provider in the NPPES registry on December 16, 2008.

Where is Dominique Clark located?

Dominique Clark practices at 12201 Wallace Landing Ct, Upper Marlboro, MD 20772. The listed phone number is (240) 417-9810.

What is Dominique 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 Dominique Clark was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.