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Deactivated NPI 1386821346 Deactivated / Inactive NPI Female Practitioner

Jenny S Clark , CCC-SLP

Speech-Language Pathologist • Amarillo, TX

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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, Jenny Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2008
NPI Deactivation Date September 18, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Jenny Clark, CCC-SLP was a registered Speech-Language Pathologist practicing in Amarillo, TX. Throughout an active medical career spanning 17 years, Jenny Clark provided care at the practice location at 2505 LAKEVIEW DR until profile deactivation on 2025-09-18.

Practice Location & Contact Primary Location

Practice Address

2505 Lakeview Dr
Suite 302

Amarillo, TX 791091527

Telephone 8063588974
Fax 8063590506
Associated Practice Facility / Clinic
🏢 Nwtx Physician Network, Pllc Facility NPI 1790109916

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
164 Specialists

Practicing in Amarillo, TX (17210 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 TX 12069

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

10 Associated Practitioners
Halzie Wingo , MS CCC-SLP

Speech-Language Pathologist

NPI 1285101907

MSCCCSLP

Anna Barraza-Derda

Speech-Language Pathologist

NPI 1306195623
Jessica Noggler , RO 1

Speech-Language Pathologist

NPI 1558501908

RO1

Nikki Dodgen , MA, CCC, SLP

Speech-Language Pathologist

NPI 1629061668

Master of Arts, Certificate of Clinical Competence, Speech-Language Pathologist

Jennifer Womack , SPEECH LANGUAGE PATH

Speech-Language Pathologist

NPI 1629198338

SPEECHLANGUAGEPATH

Dana Taylor , SPEECH LANGUAGE PATH

Speech-Language Pathologist

NPI 1649390311

SPEECHLANGUAGEPATH

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 September 18, 2025

Record deactivated on September 18, 2025

NPI Profile Active January 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2008

Registered at 2505 LAKEVIEW DR, SUITE 302, AMARILLO, TX 791091527 (Tel: 8063588974)

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Updated Business Mailing Address January 22, 2008

Registered at PO BOX 3250, AMARILLO, TX 791163250 (Tel: 8063598974)

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Provider Name / Credentials Updated January 22, 2008

Recorded as JENNY CLARK, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2008

Speech-Language Pathologist (License #12069 in TX)

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Initial NPI Registration & Enumeration January 22, 2008

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: 1386821346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2008
Last Update: January 22, 2008
Deactivation Date: September 18, 2025

Mailing Address

Po Box 3250

Amarillo, TX 791163250

Phone: 8063598974

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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