Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAHEDA CLARK
ActiveSHAHEDA CLARK is a Adult Companion healthcare provider located in SOUTH BEND, Indiana. NPI 1366323362 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · SOUTH BEND, IN
Registration Details
- NPI Number
- 1366323362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2025 (0.97013053374356 yrs)
- Last Updated
- Sep 8, 2025
Practice Information
- Address
-
414 HANEY AVESOUTH BEND, IN, 466132409Browse IN providers · Browse ZIP 46613
- Phone
- 5742105749
- Primary Specialty
-
Adult Companion
372600000X
- Additional Specialty
- Adult Companion
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.