Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083910624 Individual Practitioner Female Practitioner

Shani Clark , MS SLP

Speech-Language Pathologist • Lawrenceville, GA

Professional Overview & Biography Verified Profile Summary

Shani Clark, MS SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lawrenceville, GA. Practice services are available at 3100 CLUB DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 Club Dr

Lawrenceville, GA 300442591

Telephone 7709233100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lawrenceville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
178 Specialists

Practicing in Lawrenceville, GA (4796 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA PCET001624

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.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Sonja Williford , LPTA

Physical Therapy Assistant

NPI 1023547270

Licensed Physical Therapist Assistant

Sherwin Omadio

Occupational Therapist

NPI 1023904406
Esther Witter , CCC-SLP

Speech-Language Pathologist

NPI 1043799067

Speech-Language Pathologist (Certificate of Clinical Competence)

Mary Chackonal , MSPT

Physical Therapist

NPI 1124366349

Master of Science in Physical Therapy

Glen Cruz , PT

Physical Therapist

NPI 1164696894

Physical Therapist

Ashley Hagler , OTA

Occupational Therapy Assistant

NPI 1245681576

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2011

Registered at 3100 CLUB DR, LAWRENCEVILLE, GA 300442591 (Tel: 7709233100)

📍
Updated Business Mailing Address January 30, 2011

Registered at 3100 CLUB DR, LAWRENCEVILLE, GA 300442591

👤
Provider Name / Credentials Updated January 30, 2011

Recorded as SHANI CLARK, MS SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2011

Speech-Language Pathologist (License #PCET001624 in GA)

🟢
Initial NPI Registration & Enumeration January 30, 2011

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: 1083910624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2011
Last Update: January 30, 2011
Sole Proprietor: Yes

Mailing Address

3100 Club Dr

Lawrenceville, GA 300442591

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.