Individual provider · Type 1 NPI

Micah Clark

Speech-Language Assistant · Oklahoma City, OK

NPI number 1295692986 Active

Practice location

2219 SW 74th St
Oklahoma City, OK 73159-3931

Other practice locations

  • 400 SE 2nd St, Blanchard, OK 73010-5529 · (405) 779-3270

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA423 (OK)

Speech-Language Assistant: Definition to come...

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About NPI 1295692986

Micah Clark's National Provider Identifier is 1295692986, issued on Jan 6, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 8, 2026.