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

Mr. Edgar Vincent Clark, CCC-S

Individual provider Speech-Language Pathologist · NPI 1962611202

Mr. Edgar Vincent Clark, CCC-S is a Speech-Language Pathologist in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

101 Harris Industrial Blvd
Vidalia, GA 30474-8845
Phone: (912) 537-2044
Fax: (912) 277-2098
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 SLP004577 (GA)

Record details

NPI number1962611202
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-S
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Vidalia