ANGELA C CLARK (NPI# 1811123060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811123060 |
| Entity Type | Individual |
| Full Name | ANGELA C CLARK |
| Other Name | ANGELA CHANCEY |
| Credential | SLP |
| Practice Address |
1039 Ne Polk Ave Arcadia FL 34266-5055 |
| Practice Telephone | 8632444574 |
| Mailing Telephone | 8632444574 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA5772 | FL | Speech, Language and Hearing Service Providers |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001229700 | 05 | |
| FL | 001229500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11787 Blueberry Ln, Macclenny, FL 320634163 | 9043970004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267930 | Angela C Clark | Registered Nurse | 18548 S Kanaga Loop, Eagle River, AK 99577-8675 | 2020-02-20 |
| 1164072492 | Angela G Clark | Clinic/Center | 4703 Horton Rd, Plant City, FL 33567-3625 | 2019-09-18 |
| 1558720284 | Angela Clark | Counselor | 1401 Irene Ln, Fort Gibson, OK 74434-8339 | 2016-02-23 |
| 1316339294 | Angela Nicole Clark | Occupational Therapist | 210 Oriole Ln, Telford, TN 37690-2370 | 2015-03-02 |
| 1457680415 | Angela L Clark | Counselor | 3105 E Skelly Dr Ste 310, Tulsa, OK 74105-6371 | 2009-12-21 |
| 1235195835 | Angela M Clark | Physician Assistant | 2009 5th St, Monroe, WI 53566-1546 | 2006-04-22 |
| 1144836230 | Angela Kate Clark | Counselor | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2020-09-23 |
| 1275008914 | Angela Marie Clark | Nurse Practitioner | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2018-10-09 |
| 1669968921 | Angela Clark | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2018-07-10 |
| 1740775659 | Angela Clark | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-25 |
| Street Address |
1039 NE POLK AVE |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| 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 |
|---|---|---|---|---|
| 1790337814 | Lindsay Becker | Speech-Language Pathologist | 10910 E 276th St, Arcadia, IN 46030-9560 | 2019-07-09 |
| 1598246555 | Nimmy Thomas | Speech-Language Pathologist | 1205 S 8th Ave, Arcadia, CA 91006-9100 | 2018-08-27 |
| 1942663455 | Recess Speech Therapy | Speech-Language Pathologist | 440 E Huntington Dr # 336, Arcadia, CA 91006-3776 | 2016-04-01 |
| 1619348620 | Chunya Connie Yu | Speech-Language Pathologist | 529 E Live Oak Ave Ste E, Arcadia, CA 91006-5600 | 2015-10-16 |
| 1467860478 | Cara Waits | Speech-Language Pathologist | 2052 3rd St, Arcadia, LA 71001-6630 | 2014-07-23 |
| 1053734640 | Wenchi Yang | Speech-Language Pathologist | 55 Andrea Ln, Arcadia, CA 91006-1658 | 2014-02-02 |
| 1053646471 | Lourdes Wilson | Speech-Language Pathologist | 1035 San Carlos Rd, Arcadia, CA 91006-2227 | 2009-10-04 |
| 1013161546 | Eileen Marcia Lee | Speech-Language Pathologist | 425 E Live Oak Ave Apt 111, Arcadia, CA 91006-5621 | 2008-11-11 |
| 1730347626 | Gale Lynn Seal | Speech-Language Pathologist | 14689 E 256th St, Arcadia, IN 46030-9401 | 2008-05-28 |
| 1457951907 | Katelyn Marie Denisi | Speech-Language Pathologist | 1006 N Mills Ave, Arcadia, FL 34266-8811 | 2020-10-26 |
| Find all providers in ARCADIA | ||||
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| 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.