Individual provider · Type 1 NPI

Michelle Marie Clark, M.S., CCC-SLP

Speech-Language Pathologist · Springfield, IL

NPI number 1417862202 Active

Practice location

7772 Ponderosa Dr
Springfield, IL 62707-8539

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X146005641 (IL)

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 1417862202

Michelle Marie Clark, M.S., CCC-SLP's National Provider Identifier is 1417862202, issued on Aug 17, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Springfield, IL. The record was last updated on Aug 17, 2026.