Mary Ann Clark PH.D.

NPI 1174526578 - Psychologist - 103TC0700X

NPI Details
NPI 1174526578
Gender Female
Enumeration Date 05/31/2005
Last Updated 10/18/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
300 RIVERSIDE DR E
STE 2000
BRADENTON FL, 34208-1023, US
Phone (941) 746-8822
Fax (941) 746-8844
Business Location
300 RIVERSIDE DR E
STE 2000
BRADENTON FL, 34208-1023, US
Phone (941) 746-8822
Fax (941) 746-8844
Toxanomy
Taxonomy Code 103TC0700X
License State Florida
License Number PY0004772
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According to our database, Dr. Mary Ann Clark PH.D. NPI is 1174526578, taxonomy code is 103TC0700X and license number is PY0004772, license state is located at Florida. Mary Ann Clark PH.D. physically located at 300 Riverside Dr E, Bradenton FL, 34208-1023. NPI Number Mary Ann Clark PH.D. has the Individual type.

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1174526578 NPI number is provided on an as is basis without warranty of any kind. 1174526578 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ann Clark PH.D. are for informational purposes only.