Individual provider · Type 1 NPI
Dominique Jolie Clark
Speech-Language Pathologist · Upper Marlboro, MD
Practice location
12201 Wallace Landing Ct
Upper Marlboro, MD 20772-7957
Mailing address
681 Beville Rd
South Daytona, FL 32119-1951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146009176 (IL) |
| Speech-Language Pathologist | 235Z00000X | 22004686A (IN) |
| Speech-Language Pathologist Primary | 235Z00000X | 05036 (MD) |
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 1265678502
Dominique Jolie Clark's National Provider Identifier is 1265678502, issued on Dec 16, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Aug 3, 2018.