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

Keely Marie Clark

Individual provider Speech-Language Pathologist · NPI 1780413229

Keely Marie Clark is a Speech-Language Pathologist in Riverside, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

11810 Pierce St Ste 200
Riverside, CA 92505-5173
Phone: (951) 808-5850
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 19465 (CA)

Record details

NPI number1780413229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address11810 Pierce St Ste 200, Riverside, CA 92505-5173

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