Dominique Clark
NPI 1265678502 · Speech-Language Pathologist · Upper Marlboro, MD
Dominique Clark is a Speech-Language Pathologist provider in Upper Marlboro, MD (NPI 1265678502).
Provider details
- NPI number
- 1265678502
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 146009176 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-12-16
- Last updated
- 2018-08-03
Frequently asked questions
- What is Dominique Clark's NPI number?
- Dominique Clark's National Provider Identifier (NPI) is 1265678502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Clark's specialty?
- Dominique Clark is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Dominique Clark located?
- Dominique Clark's practice location on file with NPPES is 12201 Wallace Landing Ct, Upper Marlboro, MD 20772-7957.
- What is Dominique Clark's phone number?
- The practice phone number listed in the NPPES registry for Dominique Clark is (240) 417-9810.
- Is Dominique Clark's NPI active?
- Yes — Dominique Clark's NPI (1265678502) is active in the NPPES registry as of the last update on 2018-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.