Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angel Clark, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1720697105

Angel Clark, CCC-SLP is a Speech-Language Pathologist in Doraville, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234
Phone: (678) 514-3270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP011104 (GA)

Record details

NPI number1720697105
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020
Mailing address1085 Hunters Crossing Ln, Monroe, GA 30656-4857

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