KEELY MARIE CLARK
NPI 1780413229
Speech-Language Pathologist in Riverside, CA

Q: What is Keely Clark's NPI number?

The NPI number for Keely Clark is 1780413229. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Q: What is Keely 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 Keely Clark was last updated on August 1, 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.

Active since August 01, 2024

11810 PIERCE ST STE 200, RIVERSIDE, CA 92505(951) 808-5850 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Keely Marie Clark NPPES

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

KEELY MARIE CLARK (NPI 1780413229) is an individual speech-language pathologist provider in Riverside, California, licensed in California (19465) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1780413229

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKEELY MARIE CLARK

Location Address11810 PIERCE ST STE 200Riverside, CA 92505-5173

Mailing Address11810 Pierce St Ste 200Riverside, CA 92505-5173 · (951) 808-5850

Phone(951) 808-5850

Sole ProprietorNo

Enumeration DateAugust 1, 2024

NPPES CertifiedAugust 1, 2024

✔ NPI 1780413229 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 CA · 19465

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.

11810 PIERCE ST STE 200, Riverside, CA 92505

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Other Providers at the Same Location NPPES 10

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

JOCYLIN CHAVEZ

Specialist/Technologist (Speech-Language Assistant)