MEDICARE: MRS. JESSICA ANN CLARK M.A., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	22004331A	IN

General Provider Information

NPI Number	:	1831450733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA ANN CLARK M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	5818 STONE PINE TRL
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46033-8254
Country	:	US
Telephone Number	:	317-625-3679
Fax Number	:

Provider Business Practice Location Address
First Line	:	7424 SHADELAND STATION WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-3925
Country	:	US
Telephone Number	:	317-288-7606
Fax Number	:	317-288-7607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2012
Last Update Date	:	06/06/2012

Similar Medicare Providers

1467429985 — GWEN ANN ESHLEMAN P.T.
Practice Location Address:

7424 SHADELAND STATION WAY
INDIANAPOLIS, IN
46256-3925

Practice Phone: 317-912-4620
Practice Fax: 317-912-4621

1063510303 — MR. JASON BERTY PT, CSCS
Practice Location Address:

7478 SHADELAND STATION WAY
INDIANAPOLIS, IN
46256-3925

Practice Phone: 317-288-7606
Practice Fax: 317-288-7607

1013067479 — MRS. KAREN M BERTY PT
Practice Location Address:

7478 SHADELAND STATION WAY
INDIANAPOLIS, IN
46256-3925

Practice Phone: 317-288-7606
Practice Fax: 317-288-7607

1447384441 — MARIANELA TORRES
Practice Location Address:

7424 SHADELAND STATION WAY
INDIANAPOLIS, IN
46256-3925

Practice Phone: 317-288-7606
Practice Fax:

1023215076 — LAUREN ELIZABETH HOLDEN
Practice Location Address:

7478 SHADELAND STATION WAY
INDIANAPOLIS, IN
46256-3925

Practice Phone: 317-288-7606
Practice Fax:

1689865420 — MISS HOLLY A. SNYDER M.A.CCC-SLP
Practice Location Address:

7478 SHADELAND STATION WAY
INDIANAPOLIS, IN
46256-3925

Practice Phone: 317-288-7606
Practice Fax: 317-288-7607

1750535605 — MS. SARAH ANN SALMON M.S. OTR
Practice Location Address:

7424 SHADELAND STATION WAY
INDIANAPOLIS, IN
46256-3925

Practice Phone: 317-288-7606
Practice Fax: 317-288-7607

Directions to “ MRS. JESSICA ANN CLARK M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.