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Active NPI 1245456409 Individual Practitioner Female Practitioner

Mariola D Clark , MS CCC-SLP

Speech-Language Pathologist • Roswell, NM

Professional Overview & Biography Verified Profile Summary

Mariola Clark, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Roswell, NM. Practice services are available at 412 N RICHARDSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

412 N Richardson Ave

Roswell, NM 882014731

Telephone 5056232615
Fax 5056226703

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Roswell, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 52.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Roswell, NM (2057 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 NM 4058

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

1 Associated Practitioners
Stella Chapman , COTA, L

Occupational Therapy Assistant

NPI 1215126602

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 412 N RICHARDSON AVE, ROSWELL, NM 882014731 (Tel: 5056232615)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1004 FERN DR, ROSWELL, NM 882032580 (Tel: 5057492795)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARIOLA CLARK, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #4058 in NM)

🟢
Initial NPI Registration & Enumeration April 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245456409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1004 Fern Dr

Roswell, NM 882032580

Phone: 5057492795

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.