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Deactivated NPI 1366162927 Deactivated / Inactive NPI Male Practitioner

Lorenz Christian Clark , MA, CCC-SLP

Speech-Language Pathologist • Fayetteville, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lorenz Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2022
NPI Deactivation Date August 07, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Lorenz Clark, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Fayetteville, NC. Throughout an active medical career spanning 3 years, Lorenz Clark provided care at the practice location at 1289 OLIVER ST until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

1289 Oliver St

Fayetteville, NC 283044450

Telephone 9104838331
Fax 9104838335
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fayetteville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
196 Specialists

Practicing in Fayetteville, NC (7242 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

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

40 Associated Practitioners
Kristi Wilkins

Physical Therapist

NPI 1003221920
Kristen Singleman , MS CCC-SLP

Speech-Language Pathologist

NPI 1003505017

MSCCCSLP

Ladine Lipinski , OT

Occupational Therapist - Pediatrics

NPI 1013159920

Occupational Therapist

Rachel Pessagno , OTR, L

Occupational Therapist

NPI 1013324672

Occupational Therapist Registered, L

Dr. Melissa Brown , OTD, OTR, L

Occupational Therapist

NPI 1013482991

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Dr. Tobi Fuller , PT, DPT

Physical Therapist

NPI 1013522671

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active September 01, 2022

NPI status registered as active in NPPES database

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Updated Practice Location September 01, 2022

Registered at 1289 OLIVER ST, FAYETTEVILLE, NC 283044450 (Tel: 9104838331)

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Updated Business Mailing Address September 01, 2022

Registered at PO BOX 87294, FAYETTEVILLE, NC 283047294 (Tel: 9104838331)

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Provider Name / Credentials Updated September 01, 2022

Recorded as LORENZ CLARK, MA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2022

Speech-Language Pathologist

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Initial NPI Registration & Enumeration September 01, 2022

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: 1366162927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2022
Last Update: September 01, 2022
Deactivation Date: August 07, 2025

Mailing Address

Po Box 87294

Fayetteville, NC 283047294

Phone: 9104838331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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