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

Charles Clark

Individual provider Speech-Language Pathologist · NPI 1629312400

Charles Clark is a Speech-Language Pathologist in Crossville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012

Practice location Address checks out

368 Fourth St
Crossville, TN 38555-4309
Phone: (423) 622-1551
Fax: (423) 622-1556
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 1522 (TN)

Record details

NPI number1629312400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2012
Last updated in NPPESNovember 19, 2012
Mailing address368 Fourth St, Crossville, TN 38555-4309

Other providers in Crossville