Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497941330 Individual Practitioner Female Practitioner

Andrea Clark

Speech-Language Pathologist • Clinton, AR

Professional Overview & Biography Verified Profile Summary

Andrea Clark is a registered healthcare professional specializing in Speech-Language Pathologist in Clinton, AR. Practice services are available at 765 YELLOWJACKET LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

765 Yellowjacket Ln

Clinton, AR 720316836

Telephone 5017456000

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clinton, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Clinton, AR (3707 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

CMS Verified: 2024-08-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AR 2480

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164773721 (AR)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Allison Huett , MS CF-SLP

Speech-Language Pathologist

NPI 1831221605

MSCFSLP

Peggy Mann , COTA, L

Occupational Therapy Assistant

NPI 1992352637

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 21, 2024

Registered at 765 YELLOWJACKET LN, CLINTON, AR 720316836 (Tel: 5017456000)

📍
Updated Business Mailing Address August 21, 2024

Registered at 27 GREYSTONE DR, GREENBRIER, AR 720589382 (Tel: 5012306290)

👤
Provider Name / Credentials Updated August 21, 2024

Recorded as ANDREA CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Speech-Language Pathologist (License #2480 in AR)

NPI Profile Active January 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2016

Registered at 2001 FLORENCE MATTISON DR, CONWAY, AR 720325940 (Tel: 5014504820)

📍
Updated Business Mailing Address January 19, 2016

Registered at 2001 FLORENCE MATTISON DR, CONWAY, AR 720325940 (Tel: 5014504820)

👤
Provider Name / Credentials Updated January 19, 2016

Recorded as ANDREA MOSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2016

Speech-Language Pathologist (License #SP#P7989 in AR)

🟢
Initial NPI Registration & Enumeration September 24, 2007

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: 1497941330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2007
Last Update: August 21, 2024
Sole Proprietor: No

Mailing Address

27 Greystone Dr

Greenbrier, AR 720589382

Phone: 5012306290

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.