Charles Clark, - Speech-Language Pathologist in Crossville, TN

Charles Clark, is a Speech-language Pathologist based in Crossville, Tennessee. Charles Clark is licensed to practice in Tennessee (license number 1522) and his current practice location is 368 Fourth St, Crossville, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 622-1551.

NPI number for Charles Clark is 1629312400 and his current mailing address is 368 Fourth St, Crossville, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629312400.

Contact Information

Charles Clark,
368 Fourth St,
Crossville, TN 38555-4309
(423) 622-1551
(423) 622-1556

Map and Direction




Healthcare Provider's Profile

Full NameCharles Clark
GenderMale
SpecialitySpeech-language Pathologist
Location368 Fourth St, Crossville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629312400
  • Provider Enumeration Date: 11/19/2012
  • Last Update Date: 11/19/2012

Medical Identifiers

Medical identifiers for Charles Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629312400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 1522 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Clark,
368 Fourth St,
Crossville, TN 38555-4309

Ph: (423) 622-1551
Charles Clark,
368 Fourth St,
Crossville, TN 38555-4309

Ph: (423) 622-1551

Reviews and Comments


Speech-Language Pathologist in Crossville, TN

Ms. Chelsey Brown Hamilton, MS CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 15 Iris Ln, Crossville, TN 38555
Phone: 931-456-2728    Fax: 931-456-5446
Mallory Mobley, MS SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 421 S Main St, Crossville, TN 38555
Phone: 931-484-9511    
Joanne L Wagner, SLP-CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 368 Fourth St, Crossville, TN 38555
Phone: 931-484-3301    Fax: 423-622-1556
Crystal Moss, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2569 Cook Rd, Crossville, TN 38571
Phone: 931-510-1961    
Cumberland County Board Of Education
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 368 Fourth St, Crossville, TN 38555
Phone: 931-484-3301    
Thrive Therapy, Pllc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2569 Cook Rd, Crossville, TN 38571
Phone: 931-510-1961    

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