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

Individual provider Speech-Language Pathologist · NPI 1619568615

Kasimira Clark, CCC-SLP is a Speech-Language Pathologist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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

4020 Chicago Ave # 2083
Riverside, CA 92507-5340
Phone: (951) 534-9766
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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 14225083 (CA)

Record details

NPI number1619568615
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 1, 2021
Last updated in NPPESSeptember 28, 2025
Certification dateSeptember 28, 2025

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