Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417539263 Individual Practitioner Female Practitioner

Megan Clark , CCC-SLP

Speech-Language Pathologist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Megan Clark, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Green Bay, WI. Practice services are available at 1160 KEPLER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1160 Kepler Dr

Green Bay, WI 543118321

Telephone 9202885488
Fax 9202884707
Associated Practice Facility / Clinic
🏢 Baycare Clinic Llp Facility NPI 1194983577

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
125 Specialists

Practicing in Green Bay, WI (3821 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: 2024-03-19
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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License WI 5275-154

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

4 Associated Practitioners
NPI 1518031764

Registered Physical Therapist

Dr. Ann Schmidt , DPT

Physical Therapist

NPI 1518087600

Doctor of Physical Therapy

Dr. Sany Khabbaz , MD

Psychiatry & Neurology - Neurology

NPI 1538227848

Doctor of Medicine (M.D.)

NPI 1710367123

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 19, 2024

Registered at 1160 KEPLER DR, GREEN BAY, WI 543118321 (Tel: 9202885488)

📍
Updated Business Mailing Address March 19, 2024

Registered at 829 RANDOLPH ST, MISHICOT, WI 542289464 (Tel: 7154324425)

👤
Provider Name / Credentials Updated March 19, 2024

Recorded as MEGAN CLARK, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2024

Speech-Language Pathologist (License #5275-154 in WI)

NPI Profile Active April 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2021

Registered at 900 COLLEGE AVE W, LADYSMITH, WI 548482116 (Tel: 7155325561)

📍
Updated Business Mailing Address April 21, 2021

Registered at N918 SUNSET DR, MEDFORD, WI 544519720 (Tel: 7154324425)

👤
Provider Name / Credentials Updated April 21, 2021

Recorded as MEGAN CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration April 21, 2021

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: 1417539263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2021
Last Update: March 19, 2024
Sole Proprietor: No

Mailing Address

829 Randolph St

Mishicot, WI 542289464

Phone: 7154324425

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.