Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669021234 Individual Practitioner Male Practitioner

Cory Michael Clark

Specialist/Technologist - Speech-Language Assistant • El Mirage, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Cory Clark is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in El Mirage, AZ. Official NPI practice address is registered at 12701 N MAIN ST.

Practice Location & Contact Primary Location

Practice Address

12701 N Main St

El Mirage, AZ 853352600

Telephone 6232178544

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in El Mirage, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
5 Specialists

Practicing in El Mirage, AZ (2360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License AZ SLPA11879

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Victoria Bayne , LPN

Licensed Practical Nurse

NPI 1184947715

Licensed Practical Nurse

Elizabeth Maurer , OTR, L

Occupational Therapist

NPI 1306553292

Occupational Therapist Registered, L

Rayclyn Takushi

Speech-Language Pathologist

NPI 1669153250

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2019

Registered at 12701 N MAIN ST, EL MIRAGE, AZ 853352600 (Tel: 6232178544)

📍
Updated Business Mailing Address September 06, 2019

Registered at 4525 S COLLEGE AVE, TEMPE, AZ 852826905 (Tel: 6023733136)

👤
Provider Name / Credentials Updated September 06, 2019

Recorded as CORY CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2019

Specialist/Technologist (License #SLPA11879 in AZ)

🟢
Initial NPI Registration & Enumeration September 06, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669021234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2019
Last Update: September 06, 2019
Sole Proprietor: Yes

Mailing Address

4525 S College Ave

Tempe, AZ 852826905

Phone: 6023733136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.