Madeline Grace Clark, is a
Speech-language Pathologist based in Brookeland, Texas. Madeline Grace Clark is licensed to practice in Texas (license number 123565) and her current practice location is
3989 Fm 1007, Brookeland, Texas. She can be reached at her office (for appointments etc.) via phone at
(936) 332-3298.
NPI number for Madeline Grace Clark is 1568179299 and her current mailing address is 3989 Fm 1007, Brookeland, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568179299.
Healthcare Provider's Profile
| Full Name | Madeline Grace Clark |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 3989 Fm 1007, Brookeland, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568179299
- Provider Enumeration Date: 11/02/2022
- Last Update Date: 02/03/2026
Medical Identifiers
Medical identifiers for Madeline Grace Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568179299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 123565 (Texas) | 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. Madeline Grace 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 Address | Practice Location Address |
Madeline Grace Clark, 3989 Fm 1007, Brookeland, TX 75931-4673 Ph: (936) 332-3298 | Madeline Grace Clark, 3989 Fm 1007, Brookeland, TX 75931-4673 Ph: (936) 332-3298 |
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