NPI 1063195048 · live from the CMS NPI Registry
Mary Clarke, CCC-SLP
Speech-Language Pathologist, in Newark, DE. National Provider Identifier 1063195048, active.
NPI record
| NPI | 1063195048 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 560 Peoples Plz Ste 142, Newark, DE 19702 |
| Practice phone | 302-542-1481 |
| Enumerated | August 8, 2023 |
| Last updated | July 20, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | O1-0012260 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.