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Logan Clark , MS

Speech-Language Pathologist β€’ Roslindale, MA

Active NPI 1215763180 Individual Practitioner Male Practitioner
Practice location in NPPES

11 Primrose St Apt 1
Roslindale, MA 021311615

Call 8186353558 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11 Primrose St Apt 1

Roslindale, MA 021311615

Telephone 8186353558

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Roslindale and Massachusetts

5 active clinicians are listed under Speech-Language Pathologist with a practice address in Roslindale, MA (3,982 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 04, 2026

Registered at 11 PRIMROSE ST APT 1, ROSLINDALE, MA 021311615 (Tel: 8186353558)

πŸ“
Updated Business Mailing Address March 04, 2026

Registered at 11 PRIMROSE ST APT 1, ROSLINDALE, MA 021311615 (Tel: 8186353558)

πŸ“
Updated Business Mailing Address October 23, 2024

Registered at 492 E 13TH AVE STE 200, EUGENE, OR 974014250 (Tel: 8186353558)

βœ…
NPI Profile Active September 09, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 09, 2024

Registered at 492 E 13TH AVE STE 200, EUGENE, OR 974014250 (Tel: 9713460355)

πŸ“
Business Mailing Address (Initial Record) September 09, 2024

Registered at 11 PRIMROSE ST APT 1, ROSLINDALE, MA 021311615 (Tel: 8186353558)

πŸ‘€
Provider Name / Credentials (Initial Record) September 09, 2024

Recorded as LOGAN CLARK, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2024

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration September 09, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215763180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2024
Last Update: March 04, 2026
Sole Proprietor: No

Mailing Address

11 Primrose St Apt 1

Roslindale, MA 021311615

Phone: 8186353558

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.