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

Mykiah Clark

Individual provider Speech-Language Pathologist · NPI 1740944388

Mykiah Clark is a Qualified Speech Language Pathologist in Gainesville, Georgia. Qualified in 2021, 5 years ago. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021

Practice location Address checks out

7985 Knight Rd
Gainesville, GA 30506-6427
Phone: (770) 781-4899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (GA)

Record details

NPI number1740944388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2021
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address10205 Parker Forest Dr, Dawsonville, GA 30534-3271

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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