Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill M Clark, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1922368075

Jill M Clark, CCC-SLP is a Speech-Language Pathologist in Hiram, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

147 Trailside Cir
Hiram, GA 30141-3277
Phone: (229) 873-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP006990 (GA)

Record details

NPI number1922368075
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMay 23, 2012
Last updated in NPPESOctober 25, 2019

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