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

Mrs. Carmen Michelle Clark

Individual provider Developmental Therapist · NPI 1124463450

Mrs. Carmen Michelle Clark is a Developmental Therapist in Crestwood, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2013
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Practice location Address checks out

7302 Meadow Rd
Crestwood, KY 40014-9453
Phone: (502) 241-5159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (KY)

Record details

NPI number1124463450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2013
Last updated in NPPESApril 30, 2013

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