MISS MEGAN CLARK CCC-SLP
NPI 1417539263
Speech-Language Pathologist in Green Bay, WI

Active since April 21, 2021
1160 KEPLER DR, GREEN BAY, WI 54311(920) 288-5488(920) 288-4707 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Megan Clark Ccc-slp NPPES

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

MISS MEGAN CLARK CCC-SLP (NPI 1417539263) is an individual speech-language pathologist provider in Green Bay, Wisconsin, licensed in Wisconsin (5275-154) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1417539263
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS MEGAN CLARKCredential: CCC-SLP
Location Address1160 KEPLER DRGreen Bay, WI 54311-8321
Mailing Address829 Randolph StMishicot, WI 54228-9464 · (715) 432-4425
Fax(920) 288-4707
Sole ProprietorNo
Enumeration DateApril 21, 2021
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1417539263 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 WI · 5275-154
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.
1160 KEPLER DR, Green Bay, WI 54311

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
1160 KEPLER DR
GREEN BAY, WI 54311
Psychologist (Clinical)
1160 KEPLER DR
GREEN BAY, WI 54311
Occupational Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Chiropractor
1160 KEPLER DR
GREEN BAY, WI 54311
Pediatrics
1160 KEPLER DR
GREEN BAY, WI 54311
Nurse Practitioner (Psychiatric/Mental Health)
1160 KEPLER DR
GREEN BAY, WI 54311
Preventive Medicine (Occupational Medicine)
1160 KEPLER DR
GREEN BAY, WI 54311
Orthopaedic Surgery
1160 KEPLER DR
GREEN BAY, WI 54311

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 Megan Clark's NPI number?

The NPI number for Megan Clark is 1417539263. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Megan Clark located?

Megan Clark practices at 1160 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 288-5488.

What is Megan 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 Megan Clark was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.