Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821094897 Individual Practitioner Female Practitioner

Peggy D Clark , SLP

Speech-Language Pathologist • Bangor, ME

Professional Overview & Biography Verified Profile Summary

Peggy Clark, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bangor, ME. Practice services are available at 6 TELCOM DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6 Telcom Dr

Bangor, ME 044013072

Telephone 2079412850
Fax 2079412852
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
49 Specialists

Practicing in Bangor, ME (1187 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: 2021-06-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ME SP958

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
704575468A (GA)
Commercial Insurance / Payer ID Amerigroup
10037581 (GA)
Commercial Insurance / Payer ID Wellcare
344119 (GA)

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1053257659

Doctor of Audiology

Chuanbing Huo , SLP

Speech-Language Pathologist

NPI 1124785746

Speech-Language Pathologist

Jessica Lewis , MA

Speech-Language Pathologist

NPI 1245341361

Master of Arts

Suzanne Mowry , SLP

Speech-Language Pathologist

NPI 1295833200

Speech-Language Pathologist

NPI 1336630409

Doctor of Audiology

Sabrina Williams , CCC SLP

Speech-Language Pathologist

NPI 1366094070

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 04, 2021

Registered at 6 TELCOM DR, BANGOR, ME 044013072 (Tel: 2079412850)

NPI Profile Active August 19, 2013

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 19, 2013

Registered at PO BOX 1599, BANGOR, ME 044021599 (Tel: 2079455247)

📍
Updated Practice Location August 19, 2013

Registered at 992 UNION ST, BANGOR, ME 044013057 (Tel: 2079412850)

👤
Provider Name / Credentials Updated August 19, 2013

Recorded as PEGGY CLARK, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2013

Speech-Language Pathologist (License #SP958 in ME)

🟢
Initial NPI Registration & Enumeration June 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Peggy Clark. Be the first to share your experience!

Sign in to leave a review for Peggy Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821094897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2005
Last Update: June 15, 2021
Sole Proprietor: No

Mailing Address

Po Box 1599

Bangor, ME 044021599

Phone: 2079455247

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.