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

Bertha Denise Clark, CFLE

Individual provider Developmental Therapist · NPI 1306658521

Bertha Denise Clark, CFLE is a Developmental Therapist in Mascoutah, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1212 Gulfstream Way
Mascoutah, IL 62258-2869
Phone: (907) 240-3141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1306658521
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFLE
Sole proprietorYes
NPI enumeratedJanuary 24, 2025
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 23, 2025
Mailing address1212 Gulfstream Way, Mascoutah, IL 62258-2869

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