DOMINIQUE JOLIE CLARK – Speech-Language Pathologist, NPI 1265678502

DOMINIQUE JOLIE CLARK is a healthcare provider. based in South daytona, Florida. specializing in Speech-Language Pathologist. They hold a License No. 146009176 (IL). The NPI Number for DOMINIQUE JOLIE CLARK is 1265678502

Main info

Female
Sole Proprietor
Name
DOMINIQUE JOLIE CLARK
NPI
1265678502
Phone
(240) 417-9810
Address
681 BEVILLE RD
Enumeration Date
16 December 2008
Last Update Date
3 August 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:17State licenses:3Digital endpointsOther names

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Provider Addresses for DOMINIQUE JOLIE CLARK

  • 681, Beville Road, South Daytona, Daytona Beach, Volusia County, Florida, 32119, United States

    SOUTH DAYTONA, FL 321191951

    Phone: (240) 417-9810

    Type: Mailing

  • 12201, Wallace Landing Court, Wallace Estates, Upper Marlboro, Prince George's County, Maryland, 20772, United States

    UPPER MARLBORO, MD 207727957

    Phone: (240) 417-9810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32119)

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Frequently asked questions

Where can patients find DOMINIQUE JOLIE CLARK's NPI?
You can confirm DOMINIQUE JOLIE CLARK with NPI 1265678502; it appears in the national provider directory.
Is DOMINIQUE JOLIE CLARK's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DOMINIQUE JOLIE CLARK treat or focus on?
Patients typically see DOMINIQUE JOLIE CLARK under the specialty Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DOMINIQUE JOLIE CLARK?
The page summarizes South Daytona, Florida for DOMINIQUE JOLIE CLARK; expand the address list for detail.
How can I contact DOMINIQUE JOLIE CLARK?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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