AMY S. CLARK, SPEECH LANGUAGE PATHOLOGIST,LLC (NPI# 1841898053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841898053 |
| Entity Type | Organization |
| Organization Name | AMY S. CLARK, SPEECH LANGUAGE PATHOLOGIST,LLC |
| Practice Address |
4601 Eagleridge Pl Ste 140 Pueblo CO 81008-4101 |
| Mailing Address |
6 Erica Ct Pueblo CO 81001-1074 |
| Practice Telephone | 7193696862 |
| Practice Fax Number | 7199417314 |
| Mailing Telephone | 7193696862 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | AMY CLARK (OWNER) |
| Authorized Official Telephone | 7193696862 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 95037071 | 05 |
| Street Address |
4601 EAGLERIDGE PL STE 140 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831455658 | Juaquina Melita Broughton | Occupational Therapist | 4601 Eagleridge Pl Ste 140, Pueblo, CO 81008-4101 | 2012-04-05 |
| 1023628765 | Ryan James Sumsion | Occupational Therapy Assistant | 4601 Eagleridge Pl Ste 140, Pueblo, CO 81008-4101 | 2020-08-07 |
| 1831741685 | Tiffaney E Salerno | Occupational Therapist | 4601 Eagleridge Pl Ste 140, Pueblo, CO 81008-4101 | 2019-07-11 |
| 1407352123 | Lynn Ellen Mondragon | Occupational Therapy Assistant | 4601 Eagleridge Pl Ste 140, Pueblo, CO 81008-4101 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| 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 |
|---|---|---|---|---|
| 1962015925 | Southern Colorado Speech Therapy, LLC | Speech-Language Pathologist | 2316 De Soto Rd, Pueblo, CO 81003-1844 | 2020-08-28 |
| 1114541059 | Jacalyn Savage | Speech-Language Pathologist | 225 W Pitkin Ave, Pueblo, CO 81004-1839 | 2020-06-06 |
| 1417516360 | Kid Talk, LLC | Speech-Language Pathologist | 2 Lupine Ct, Pueblo, CO 81001-1036 | 2019-06-12 |
| 1407411390 | Lauren Pigott | Speech-Language Pathologist | 16 Chinook Ln, Pueblo, CO 81001-1502 | 2019-05-06 |
| 1750820775 | Shelly Hewitt | Speech-Language Pathologist | 37530 South Rd, Pueblo, CO 81006-9336 | 2017-02-23 |
| 1841746336 | Brandon John Larson | Speech-Language Pathologist | 1610 Scranton Ave # 81004, Pueblo, CO 81004-2676 | 2016-08-25 |
| 1811358534 | Allison C Hawkins | Speech-Language Pathologist | 1208 Eagleridge Blvd, Pueblo, CO 81008-2329 | 2016-03-08 |
| 1972973287 | Patricia Anne Rose | Speech-Language Pathologist | 704 Fortino Blvd, Suite A, Pueblo, CO 81008-2086 | 2015-09-29 |
| 1780050773 | Megan Lee Betts | Speech-Language Pathologist | 441 Argyle Ave, Pueblo, CO 81004-1012 | 2015-08-13 |
| 1366833402 | Sabita Singh | Speech-Language Pathologist | 4747 Eagleridge Cir, Apt 204, Pueblo, CO 81008-2144 | 2015-02-11 |
| Find all providers in PUEBLO | ||||
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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.