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

Individual provider Speech-Language Assistant · NPI 1669021234

Cory Michael Clark is a Speech-Language Assistant in El Mirage, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

12701 N Main St
El Mirage, AZ 85335-2600
Phone: (623) 217-8544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SLPA11879 (AZ)

Record details

NPI number1669021234
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 6, 2019
Last updated in NPPESSeptember 6, 2019
Mailing address4525 S College Ave, Tempe, AZ 85282-6905

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