MRS. KATHRYN GORE CLARK CCC-SLP
NPI 1760606040
Speech-Language Pathologist in Fort Rucker, AL

NPI Status: Active since April 11, 2007

Contact Information

301 ANDREWS AVENUE
EDIS
FORT RUCKER, AL
ZIP 36362
Phone: (808) 772-1393

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  • Individual
  • Female
  • Speech-Language Pathologist

About KATHRYN CLARK

This page provides the complete NPI Profile along with additional information for Kathryn Clark, a provider established in Fort Rucker, Alabama with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1760606040 assigned on April 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 2820 (AL). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1760606040
Provider Name
MRS. KATHRYN GORE CLARK CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
301 ANDREWS AVENUE EDIS FORT RUCKER, AL 36362
Location Phone
(808) 772-1393
Mailing Address
112 N HARRIS DR FORT RUCKER, AL 36362
Mailing Phone
(808) 772-1393
Is Sole Proprietor?
Yes
Enumeration Date
04-11-2007
Last Update Date
03-19-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
2820
License State
AL
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

SP 955 (HI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760606040
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201201208
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 0 + 1 + 2 + 0 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760606040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932107307 JAMES C. DOVER O.D.
Individual
Optometrist301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7040
1528058328DR. BRIAN W SMALLEY D.O.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1528058005 KEVIN MARK HOUCK MPT
Individual
Physical Therapist301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1679564652MR. DONALD WAYNE DRAPER PA
Individual
Physician Assistant301 ANDREWS AVENUE LYSTER US ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1639160948MS. VIVIAN BURTON GAMBLES FNP
Individual
Nurse Practitioner (Family)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1992796213DR. JANET ELIZABETH DICK-GRACE PH.D.
Individual
Social Worker301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1083695670 MONICA B. GORBANDT MD
Individual
Internal Medicine301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1396726733MRS. ANNIE STEVENS BOOTHE CRNP
Individual
Nurse Practitioner (Primary Care)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1710968110MS. BETTY L MCCAIN SOCIAL WORKER
Individual
Social Worker301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1104809359MRS. IDA SUE MONTGOMERY CRNP
Individual
Nurse Practitioner (Primary Care)301 ANDREWS AVENUE LYSTER ARMY OUTPATIENT CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1699758466MR. JAMES G. JONES LPC
Individual
Counselor (Addiction (Substance Use Disorder))301 ANDREWS AVENUE
FT. RUCKER, AL 36362
(334) 255-7387
1730165291MRS. THERESA DIANNE OSTEEN RD
Individual
Dietitian, Registered301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1689649857MRS. JEANETTA SHEPPARD LCSW
Individual
Social Worker (Clinical)301 ANDREWS AVENUE UNITED STATES ARMY SUBSTANCE ABUSE PROGRAM
FORT RUCKER, AL 36362
(334) 255-7918
1164519849DR. BARRY L FUNKHOUSER MD
Individual
Psychologist (Clinical)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1326117367DR. LYNNETTE B BARDOLF PH.D.
Individual
Audiologist301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1013087923MS. CANDICE M HOBBS
Individual
Nurse Practitioner (Family)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7649
1598964298DR. JENNIFER SIGNE MARSDEN M.D.
Individual
Family Medicine301 ANDREWS AVENUE VA WIREGRASS
FORT RUCKER, AL 36362
(334) 503-7831
1578741534MS. REBECCA S MERRITT RN
Individual
Registered Nurse (Case Management)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7116
1386822203MRS. ALEXA E YOHN RN
Individual
Registered Nurse (Ambulatory Care)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7152
1467630251MS. MAXIENE H RYAN LPN
Individual
Licensed Practical Nurse301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7894

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760606040, enumerated in the NPI registry as an "individual" on April 11, 2007

The provider is located at 301 Andrews Avenue Edis Fort Rucker, Al 36362 and the phone number is (808) 772-1393

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

This NPI record was last updated on April 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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