Mariola D Clark, MS CCC-SLP - Speech-Language Pathologist in Roswell, NM

Mariola D Clark, MS CCC-SLP is a Speech-language Pathologist based in Roswell, New Mexico. Mariola D Clark is licensed to practice in New Mexico (license number 4058) and her current practice location is 412 N Richardson Ave, Roswell, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 623-2615.

NPI number for Mariola D Clark is 1245456409 and her current mailing address is 1004 Fern Dr, Roswell, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245456409.

Contact Information

Mariola D Clark, MS CCC-SLP
412 N Richardson Ave,
Roswell, NM 88201-4731
(505) 623-2615
(505) 622-6703



Healthcare Provider's Profile

Full NameMariola D Clark
GenderFemale
SpecialitySpeech-language Pathologist
Location412 N Richardson Ave, Roswell, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245456409
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mariola D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245456409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 4058 (New Mexico)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. Mariola D 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
Mariola D Clark, MS CCC-SLP
1004 Fern Dr,
Roswell, NM 88203-2580

Ph: (505) 749-2795
Mariola D Clark, MS CCC-SLP
412 N Richardson Ave,
Roswell, NM 88201-4731

Ph: (505) 623-2615

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› Verified 1 days ago


Speech-Language Pathologist in Roswell, NM

Mrs. Sherri Joann Hall-crowhurst, MS CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 600 E Hobbs St, Roswell, NM 88203
Phone: 575-637-3550    
Miss Molly Kay Cooper, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 300 N Kentucky Ave, Roswell, NM 88201
Phone: 505-637-3550    Fax: 505-627-2544
Amber Smith, MS CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Mission Arch Dr, Roswell, NM 88201
Phone: 575-622-5328    
Mrs. Jana L Blewett, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 300 N Kentucky Ave, Roswell, NM 88201
Phone: 575-627-2500    
Ms. Gwyn O'neal Burd, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 300 N Kentucky Ave, Roswell, NM 88201
Phone: 505-627-2875    Fax: 505-627-2544
Mrs. Jennifer Leigh Campbell, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 804 N. Union, Roswell, NM 88201
Phone: 575-624-2095    Fax: 575-627-5721
Lonna Kay Mapes, MS CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 300 N Kentucky Ave, Roswell, NM 88201
Phone: 505-627-2557    Fax: 505-627-2544

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