CHARLES CLARK
NPI 1629312400
Speech-Language Pathologist in Crossville, TN

Active since November 19, 2012
368 FOURTH ST, CROSSVILLE, TN 38555(423) 622-1551(423) 622-1556 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Clark NPPES

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

CHARLES CLARK (NPI 1629312400) is an individual speech-language pathologist provider in Crossville, Tennessee, licensed in Tennessee (1522) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1629312400
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameCHARLES CLARK
Location Address368 FOURTH STCrossville, TN 38555-4309
Mailing Address368 Fourth StCrossville, TN 38555-4309 · (423) 622-1551 · Fax (423) 622-1556
Fax(423) 622-1556
Sole ProprietorNo
Enumeration DateNovember 19, 2012
NPI 1629312400 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 TN · 1522
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.

368 FOURTH ST, Crossville, TN 38555

Other Providers at the Same Location NPPES 4

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

Licensed Practical Nurse
368 FOURTH ST
CROSSVILLE, TN 38555
Local Education Agency (LEA)
368 FOURTH ST
CROSSVILLE, TN 38555
Speech-Language Pathologist
368 FOURTH ST
CROSSVILLE, TN 38555
Speech-Language Pathologist
368 FOURTH ST
CROSSVILLE, TN 38555

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 Charles Clark's NPI number?

The NPI number for Charles Clark is 1629312400. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Charles Clark located?

Charles Clark practices at 368 Fourth St, Crossville, TN 38555. The listed phone number is (423) 622-1551.

What is Charles 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 Charles Clark was last updated on November 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.