Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104194331 Individual Practitioner Female Practitioner

Marilyn Johnson Dunham Wark , MA CCC-SLP

Speech-Language Pathologist • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Marilyn Wark, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Memphis, TN. Practice services are available at 4055 N PARK LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4055 N Park Loop

Memphis, TN 381525042

Telephone 9016782009
Associated Practice Facility / Clinic
🏢 The University Of Memphis Facility NPI 1609961655

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
290 Specialists

Practicing in Memphis, TN (3778 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 TN 0000000751

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
1527831 (TN)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Cille Heehs , MA CCC-SLP

Speech-Language Pathologist

NPI 1033708664

MACCCSLP

Miriam Vanmersbergen , SLP

Speech-Language Pathologist

NPI 1053353839

Speech-Language Pathologist

NPI 1134673643

Doctor of Audiology

NPI 1194068155

Doctor of Audiology

Jeanette Mayo

Audiologist

NPI 1205558111
Caroline Royal-Evans , MS, CCC, BC-ANCDS

Speech-Language Pathologist

NPI 1255659793

Master of Science, Certificate of Clinical Competence, BCANCDS

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 20, 2019

Registered at 4055 N PARK LOOP, MEMPHIS, TN 381525042 (Tel: 9016782009)

📍
Updated Business Mailing Address March 20, 2019

Registered at 850 POPLAR AVE BLDG 2, MEMPHIS, TN 381054607 (Tel: 9012875565)

NPI Profile Active December 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2011

Registered at 807 JEFFERSON AVE, MEMPHIS, TN 381055042 (Tel: 9016785800)

📍
Updated Business Mailing Address December 02, 2011

Registered at 807 JEFFERSON AVE, MEMPHIS, TN 38105 (Tel: 9016785800)

👤
Provider Name / Credentials Updated December 02, 2011

Recorded as MARILYN WARK, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2011

Speech-Language Pathologist (License #0000000751 in TN)

🟢
Initial NPI Registration & Enumeration December 02, 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: 1104194331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2011
Last Update: March 20, 2019
Sole Proprietor: No

Mailing Address

850 Poplar Ave Bldg 2

Memphis, TN 381054607

Phone: 9012875565

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.