IndividualActive
Amber Clark, MS, CCC-SLP
NPI 1710247846 · Speech-Language Pathologist · Lebanon, KY
Provider details
- NPI number
- 1710247846
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12-001 (KY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
60 W Calvary Dr
Lebanon, KY 40033-8421
Phone: (270) 779-4143
Approximate (ZIP-level) locationGet directions
Mailing address
60 W Calvary Dr
Lebanon, KY 40033-8421
Additional practice locations (1)
- 105 Laura Sue Humphress DrCampbellsville, KY 42718-8899Phone: (270) 465-7768Fax: (270) 465-0068
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2020-06-10
- Certified
- 2020-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.