Dominique Jolie Clark, - Speech-Language Pathologist in Upper Marlboro, MD

Dominique Jolie Clark, is a Speech-language Pathologist based in Upper Marlboro, Maryland. Dominique Jolie Clark is licensed to practice in Maryland (license number 05036) and her current practice location is 12201 Wallace Landing Ct, Upper Marlboro, Maryland. She can be reached at her office (for appointments etc.) via phone at (240) 417-9810.

NPI number for Dominique Jolie Clark is 1265678502 and her current mailing address is 681 Beville Rd, South Daytona, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265678502.

Contact Information

Dominique Jolie Clark,
12201 Wallace Landing Ct,
Upper Marlboro, MD 20772-7957
(240) 417-9810
Not Available



Healthcare Provider's Profile

Full NameDominique Jolie Clark
GenderFemale
SpecialitySpeech-language Pathologist
Location12201 Wallace Landing Ct, Upper Marlboro, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265678502
  • Provider Enumeration Date: 12/16/2008
  • Last Update Date: 08/03/2018

Medical Identifiers

Medical identifiers for Dominique Jolie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265678502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 146009176 (Illinois)Secondary
235Z00000XSpeech-language Pathologist 22004686A (Indiana)Secondary
235Z00000XSpeech-language Pathologist 05036 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Jolie Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dominique Jolie Clark,
681 Beville Rd,
South Daytona, FL 32119-1951

Ph: (240) 417-9810
Dominique Jolie Clark,
12201 Wallace Landing Ct,
Upper Marlboro, MD 20772-7957

Ph: (240) 417-9810

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› Verified 4 days ago


Speech-Language Pathologist in Upper Marlboro, MD

The Final Piece Speech And Language Therapy, Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3716 Chancelsors Dr, Upper Marlboro, MD 20772
Phone: 240-547-9031    
Marcella Coleman, SPEECH-LANGUAGE PATH
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 11454 Dunloring Pl, Upper Marlboro, MD 20774
Phone: 240-535-6876    
Latanya Charice Findlater,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 14201 School Ln, Upper Marlboro, MD 20772
Phone: 301-246-0052    
Building Bridges Therapies, Llc
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 8539 Grandhaven Ave, Upper Marlboro, MD 20772
Phone: 202-688-1038    Fax: 202-688-2774
Mrs. Kathleen Wyvill Edelen, MD
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 7100 Croom Station Rd, Upper Marlboro, MD 20772
Phone: 301-952-0615    
Jessica Egred,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 9440 Marlboro Pike, #320, Upper Marlboro, MD 20772
Phone: 301-297-4022    
Sara Meier,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 14201 School Ln, Upper Marlboro, MD 20772
Phone: 301-952-6000    

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