Organization
MARY ANN CLARK PH D & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN CLARK PH.D. (OWNER/PRESIDENT)
(941) 746-8822
Entity
Organization
Contact information
Practice address
300 RIVERSIDE DR E, SUITE 2000, BRADENTON, FL 34208-1008
(941) 746-8822
(941) 746-8844
Mailing address
300 RIVERSIDE DR E, SUITE 2000, BRADENTON, FL 34208-1008
(941) 746-8822
(941) 746-8844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004772
FL
Other
Enumeration date
12/19/2007
Last updated
04/11/2008
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