Individual
MARK L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2200 ADA AVE STE 302, CONWAY, AR 72034-4985
(501) 932-0352
(501) 932-0354
Mailing address
2200 ADA AVE STE 302, CONWAY, AR 72034-4985
(501) 932-0352
(501) 932-0354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
89-13P
AR
Other
Enumeration date
10/25/2006
Last updated
05/10/2023
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