Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE JOLIE CLARK
Active Sole ProprietorDOMINIQUE JOLIE CLARK is a Speech, Language and Hearing Specialist healthcare provider located in UPPER MARLBORO, Maryland. NPI 1265678502 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · UPPER MARLBORO, MD
Registration Details
- NPI Number
- 1265678502
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2008 (17.664366967127 yrs)
- Last Updated
- Aug 3, 2018
- Licenses
-
146009176 (IL)22004686A (IN)05036 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12201 WALLACE LANDING CTUPPER MARLBORO, MD, 207727957Browse MD providers · Browse ZIP 20772
- Phone
- 2404179810
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in UPPER MARLBORO, MD
| Name | Credential | NPI |
|---|---|---|
| MS. BETTINA MONET JACKSON | MS CCC-SLP | 1497739395 |
| KANESSIA SHEPARD | MA, CCC-SLP | 1992781868 |
| DR. VANESSA CARYL SHAW | CCC-SLP | 1285669168 |
| MRS. ANITA GALLOWAY WYATT | M.S., CCC-SLP | 1851411706 |
| LEAH SMYTHE | — | 1124294459 |
| MALIKA MATTHEWS | M.ED. CCC-SLP | 1245493576 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.