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

Brooke Marie Clark

Individual provider Speech-Language Pathologist · NPI 1679262109

Brooke Marie Clark is a Qualified Speech Language Pathologist in Toledo, Ohio. Qualified in 2023, 3 years ago. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1101 S Detroit Ave
Toledo, OH 43614-2799
Phone: (419) 385-0231
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence COND.20232349-SP (OH)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1679262109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2023
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address2621 Greenway St, Toledo, OH 43607-1349

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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