ANGEL CLARK CCC-SLP
NPI 1720697105
Speech-Language Pathologist in Doraville, GA

Q: What is Angel Clark's NPI number?

The NPI number for Angel Clark is 1720697105. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Angel 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 Angel Clark was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 30, 2020

6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360(678) 514-3270 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angel Clark Ccc-slp NPPES

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

ANGEL CLARK CCC-SLP (NPI 1720697105) is an individual speech-language pathologist provider in Doraville, Georgia, licensed in Georgia (SLP011104) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1720697105

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameANGEL CLARKCredential: CCC-SLP

Location Address6035 PEACHTREE RD STE C120Doraville, GA 30360-3234

Mailing Address1085 Hunters Crossing LnMonroe, GA 30656-4857 · (678) 699-7929

Phone(678) 514-3270

Sole ProprietorNo

Enumeration DateJuly 30, 2020

NPPES CertifiedJuly 30, 2020

✔ NPI 1720697105 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 GA · SLP011104

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.

6035 PEACHTREE RD STE C120, Doraville, GA 30360

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

ARIEL NICOLE BASDEN M.S., CCC-SLP

Speech-Language Pathologist