Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316368152 Individual Practitioner Female Practitioner

Katherine E Clark

Speech-Language Pathologist • Odessa, FL

Professional Overview & Biography Verified Profile Summary

Katherine Clark is a registered healthcare professional specializing in Speech-Language Pathologist in Odessa, FL. Practice services are available at 11981 RUDDY RUN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11981 Ruddy Run

Odessa, FL 335564095

Telephone 8135251323

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Odessa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Odessa, FL (11640 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: 2023-06-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA12208

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 04, 2023

Registered at 11981 RUDDY RUN, ODESSA, FL 335564095 (Tel: 8135251323)

📍
Updated Business Mailing Address June 04, 2023

Registered at 11981 RUDDY RUN, ODESSA, FL 335564095 (Tel: 8135251323)

👤
Provider Name / Credentials Updated June 04, 2023

Recorded as KATHERINE CLARK

NPI Profile Active September 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2015

Registered at 4443 ROWAN RD, NEW PORT RICHEY, FL 346536198 (Tel: 7278469900)

📍
Updated Business Mailing Address September 07, 2015

Registered at 3905 BRAESGATE LN, TAMPA, FL 336241806 (Tel: 8135251323)

👤
Provider Name / Credentials Updated September 07, 2015

Recorded as KATHERINE LONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2015

Speech-Language Pathologist (License #SA12208 in FL)

🟢
Initial NPI Registration & Enumeration December 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316368152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2013
Last Update: June 04, 2023
Sole Proprietor: Yes

Mailing Address

11981 Ruddy Run

Odessa, FL 335564095

Phone: 8135251323

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.