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

Mrs. Shani Clark, MSSLP

Individual provider Speech-Language Pathologist · NPI 1083910624

Mrs. Shani Clark, MSSLP is a Speech-Language Pathologist in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011

Practice location Address checks out

3100 Club Dr
Lawrenceville, GA 30044-2591
Phone: (770) 923-3100
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 PCET001624 (GA)

Record details

NPI number1083910624
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP
Sole proprietorYes
NPI enumeratedJanuary 30, 2011
Last updated in NPPESJanuary 30, 2011

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