IndividualActive
Amber Clark, M.S. CCC-SLP
NPI 1609011592 · Speech-Language Pathologist · Ontario, ID
Provider details
- NPI number
- 1609011592
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 13019 (OR)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
898 Sw Fourth Ave.
Ontario, ID 97914-2693
Phone: (541) 881-7330
Approximate (ZIP-level) locationGet directions
Mailing address
290 N Higbee Ave
Idaho Falls, ID 83401-2554
Registry dates
- Enumerated
- 2008-12-08
- Last updated
- 2009-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.