MS. RAYNELL THERESA CLARK (NPI# 1114248630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114248630 |
| Entity Type | Individual |
| Full Name | MS. RAYNELL THERESA CLARK |
| Credential | M.A. CCC-SLP |
| Practice Address |
25281 Lois Ln Southfield MI 48075-6159 |
| Practice Telephone | 2482274080 |
| Mailing Telephone | 2482274080 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
25281 LOIS LN |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-6159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121040 | Speech and Language Solutions LLC | Speech-Language Pathologist | 24001 Southfield Rd Ste 206, Southfield, MI 48075-2847 | 2020-10-13 |
| 1922612258 | Sujit John | Speech-Language Pathologist | 17330 Northland Park Ct Ste 200a, Southfield, MI 48075-4325 | 2020-09-03 |
| 1962933606 | Leah Tawil | Speech-Language Pathologist | 15679 Goldwin Pl, Southfield, MI 48075-2108 | 2017-03-24 |
| 1740637925 | Rachel Muller | Speech-Language Pathologist | 15842 Addison St, Southfield, MI 48075-3054 | 2016-05-18 |
| 1215399555 | Jayne Mcgee | Speech-Language Pathologist | 26770 E Carnegie Park Dr, Southfield, MI 48034-6154 | 2016-03-25 |
| 1942550306 | Janetta Hubbard | Speech-Language Pathologist | 18601 Bainbridge Dr., Southfield, MI 48076 | 2012-09-13 |
| 1114275492 | Abc Therapy Solutions | Speech-Language Pathologist | 18601 Bainbridge Dr, Southfield, MI 48076-5312 | 2012-08-17 |
| 1023225562 | Jacob Alan Zinke | Speech-Language Pathologist | 29776 Farmbrook Villa Ln, Southfield, MI 48034-1066 | 2007-05-16 |
| 1982816609 | Laura Wayburn | Speech-Language Pathologist | 18824 Webster Ave, Southfield, MI 48076-5741 | 2007-05-04 |
| 1336271287 | Linda Ruth Schwarzberg | Speech-Language Pathologist | 20315 Winchester St, Southfield, MI 48076-4933 | 2007-03-09 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on MS. RAYNELL THERESA CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.