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

Dominique Jolie Clark

Individual provider Speech-Language Pathologist · NPI 1265678502

Dominique Jolie Clark is a Speech-Language Pathologist in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in Illinois, Indiana and Maryland.

Licensed in
IL, IN, MD
In the registry since
2008
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12201 Wallace Landing Ct
Upper Marlboro, MD 20772-7957
Phone: (240) 417-9810
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 05036 (MD)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 146009176 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 22004686A (IN)

Record details

NPI number1265678502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2008
Last updated in NPPESAugust 3, 2018

Other providers in Upper Marlboro