MRS. MARY LEANN CLARK M.S., CCC-SLP
NPI 1689136905
Speech-Language Pathologist in Corbin, KY

Q: What is Mary Clark's NPI number?

The NPI number for Mary Clark is 1689136905. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Mary Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Clark was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 04, 2019

192 BACON CREEK RD, CORBIN, KY 40701(606) 526-1900 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Mary Leann Clark M.s., Ccc-slp NPPES

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

MRS. MARY LEANN CLARK M.S., CCC-SLP (NPI 1689136905) is an individual speech-language pathologist provider in Corbin, Kentucky, licensed in Kentucky (2166) and active in the NPI registry since April 2019. She maintains a secondary practice location in London.

NPPES Registry Identity

NPI1689136905

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. MARY LEANN CLARKCredential: M.S., CCC-SLP

Location Address192 BACON CREEK RDCorbin, KY 40701-8639

Mailing Address505 Hensley DrLondon, KY 40741-1630 · (606) 682-2778

Phone(606) 526-1900

Sole ProprietorYes

Enumeration DateApril 4, 2019

✔ NPI 1689136905 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 KY · 2166

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.

192 BACON CREEK RD, Corbin, KY 40701

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Secondary Practice Location 1

Location 1505 Hensley DrLondon, KY 40741-1630 · Phone (606) 682-2778

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

TIFFANY DAWN MULLINS MS, OTR/L

Occupational Therapist