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Individual
MRS. MELISSA ANN CLARK
Active
Individual
MRS. MELISSA ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1980
AR
235Z00000X
Speech-Language Pathologist
2016007409
MO
235Z00000X
Speech-Language Pathologist
Primary
31493
CA
235Z00000X
Speech-Language Pathologist
41YS01045600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149195721
—
AR
01
—
5X321
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/20/2006
Last updated
07/02/2026
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