Individual
CAITLIN W CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8514 SIX FORKS RD STE 102, RALEIGH, NC 27615-3254
(919) 465-4424
(919) 465-4427
Mailing address
8514 SIX FORKS RD STE 102, RALEIGH, NC 27615-3254
(919) 465-4424
(919) 465-4427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11286
NC
235Z00000X
Speech-Language Pathologist
Primary
1503021
NC
Other
Enumeration date
06/04/2014
Last updated
03/25/2026
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