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CORY MICHAEL CLARK
NPI 1669021234
Specialist/Technologist - Speech-Language Assistant in El Mirage, AZ

Active since September 06, 2019
12701 N MAIN ST, EL MIRAGE, AZ 85335(623) 217-8544 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cory Michael Clark NPPES

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

CORY MICHAEL CLARK (NPI 1669021234) is an individual speech-language assistant in El Mirage, Arizona, licensed in Arizona (SLPA11879) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1669021234
Entity TypeIndividualMale
Primary Taxonomy2355S0801X
Provider Legal NameCORY MICHAEL CLARK
Location Address12701 N MAIN STEl Mirage, AZ 85335-2600
Mailing Address4525 S College AveTempe, AZ 85282-6905 · (602) 373-3136
Phone(623) 217-8544
Sole ProprietorYes
Enumeration DateSeptember 6, 2019
✔ NPI 1669021234 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 AZ · SLPA11879
12701 N MAIN ST, El Mirage, AZ 85335
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Other Providers at the Same Location NPPES 3

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

VICTORIA LYNNE BAYNE LPN
Licensed Practical Nurse
12701 N MAIN ST
EL MIRAGE, AZ 85335
Maricopa County (623) 523-8990
MS. ELIZABETH S MAURER OTR/L
Occupational Therapist
12701 N MAIN ST
EL MIRAGE, AZ 85335
Maricopa County (814) 591-5811
RAYCLYN CELINE KEALANI TAKUSHI
Speech-Language Pathologist
12701 N MAIN ST
EL MIRAGE, AZ 85335
Maricopa County (623) 523-8950

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 Cory Clark's NPI number?

The NPI number for Cory Clark is 1669021234. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Cory Clark located?

Cory Clark practices at 12701 N Main St, El Mirage, AZ 85335. The listed phone number is (623) 217-8544.

What is Cory 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 Cory Clark was last updated on September 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.