Individual provider · Type 1 NPI

Jillian Clark, MA

Speech-Language Pathologist · Hazel Park, MI

NPI number 1194634501 Active

Practice location

1620 E Elza Ave
Hazel Park, MI 48030-2358

Mailing address

4079 Waterwheel Ln
Bloomfield Hills, MI 48302-1871

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: 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, resonan…

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About NPI 1194634501

Jillian Clark, MA's National Provider Identifier is 1194634501, issued on Sep 2, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Hazel Park, MI. The record was last updated on Sep 2, 2026.