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MARY ANN CLARK PH D & ASSOCIATES PA NPI 1407030018


NPI Information

NPI: 1407030018
Provider Name: MARY ANN CLARK PH D & ASSOCIATES PA
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
300 RIVERSIDE DR E
SUITE 2000
BRADENTON, FL
ZIP 34208
Phone: (941) 746-8822
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MARY ANN CLARK PH D & ASSOCIATES PA is a clinical psychologist in Bradenton, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MARY ANN CLARK PH D & ASSOCIATES PA NPI is 1407030018. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 RIVERSIDE DR E
SUITE 2000
BRADENTON, FL
ZIP 34208-008
Phone: (941) 746-8822
Fax: (941) 746-8844

The provider's authorized official is Mary Ann Clark .
The authorized official title is Owner/president and has the following contact phone number (941) 746-8822.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 4/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPY0004772FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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