Peggy D Clark in Bangor - Speech-language Pathologist
Peggy D Clark - NPI 1821094897
Peggy D Clark is a Speech-language Pathologist in Bangor, Maine. Peggy D Clark practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Peggy D Clark is 1821094897. The last update date is 2021-06-15.
Peggy D Clark's current location address is Po Box 1599, Bangor, Maine. You can contact this provider via phone number 2079455247. The mailing address for Peggy D Clark is Po Box 1599, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy D Clark |
|---|---|
| Address | Po Box 1599, Bangor, Maine |
| Phone Number | 2079455247 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1821094897 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2021-06-15 |
Provider Mailing Address Detail
| Address | Po Box 1599 |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44021599 |
| Phone Number | 2079455247 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP958 |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 704575468A | GA | -- | |
| 10037581 | GA | AMERIGROUP | |
| 344119 | GA | WELLCARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Peggy D Clark?
The Peggy D Clark has been issued the NPI (National Provider Identifier) 1821094897 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Peggy D Clark is physically located?
The Peggy D Clark is physically situated at the following address: Po Box 1599, Bangor, ME, 44021599.
What is Peggy D Clark's area of expertise and its corresponding taxonomy classification?
The Peggy D Clark's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Peggy D Clark receive its 1821094897 assignment from the Centers for Medicare & Medicaid Services?
The Peggy D Clark was assigned its 1821094897 by the Centers for Medicare & Medicaid Services on 2005-06-24.
As of what date were the details related to Peggy D Clark most recently updated or revised?
The information pertaining to Peggy D Clark, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-15.