MARY KATHERINE CLARK


Address: 320 N Main St, Greenwood, AR 72936-7031
Phone: 4799961414

MARY KATHERINE CLARK (NPI# 1750546693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750546693
Entity Type Individual
Full Name MARY KATHERINE CLARK
Credential M.S.,LPE-I
Practice Address 320 N Main St
Greenwood
AR 72936-7031
Mailing Address P. O. Box 3023
Greenwood
AR 72936-3020
Practice Telephone 4799961414
Mailing Telephone 4799961414
Enumeration Date 2008-07-21
Last Update Date 2008-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
83-07E-I AR Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
83-07E-I AR Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
83-07E-I AR Behavioral Health & Social Service Providers
Y 103TS0200X Psychologist
Specialization: School
83-07E-I AR Behavioral Health & Social Service Providers

Other Providers MARY CLARK

NPI Name Taxonomy Address Enumeration
1255958252 Mary Beth Clark Speech-Language Pathologist 18 La Salle Ave, Sioux City, IA 51104-2412 2020-06-25
1205461266 Mary Clark Nurse's Aide 229 Elmhurst Rd, Dayton, OH 45417-1420 2020-03-10
1366981839 Mary Clark Acupuncturist 8380 Six Forks Rd Ste 203, Raleigh, NC 27615-5091 2017-02-16
1740698935 Mary Christine Clark Lactation Consultant, Non-RN 2774 230th St, Cushing, WI 54006-3421 2014-07-31
1982022562 Mary Clark Non-emergency Medical Transport (VAN) 2957 Brogdon Rd, Alcolu, SC 29001-8637 2014-04-01
1760825392 Mary Elizabeth Clark Doula 8634 Oakside Ave, Commerce Township, MI 48382-3763 2013-04-13
1336497460 Mary Clark Chiropractor 298 Federal Hill Rd, Milford, NH 03055-3553 2012-08-21
1730460098 Mary Jo Clark Specialist 2691 Highway 62 412, Highland, AR 72542-9479 2011-08-31
1649559410 Mary Jackson Clark Counselor 904 Washington Rd Ste A, Westminster, MD 21157-5838 2011-08-11
1952691461 Mary Denise Clark Doula 1070 Milo Cir Apt B, Lafayette, CO 80026-3089 2011-04-18

Office Location

Street Address 320 N MAIN ST
City GREENWOOD
State AR
Zip Code 72936-7031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568494201 Shannon Lee Garner Social Worker 320 N Main St, Greenwood, AR 72936-7031 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376022988 Sonja Kay Cooper Pharmacist 2708 Old Chismville Rd, Greenwood, AR 72936 2018-08-14
1225585201 Henry Counseling Services Marriage & Family Therapist 105 North Main St., Greenwood, AR 72936 2016-09-07
1720316235 Sports Plus Physical Therapy Physical Therapist 250 Old Hackett Road, Greenwood, AR 72936 2009-11-20
1285812255 Lisa Jan Bohne Clay Psychologist 2711 Shadow Lake Dr, Greenwood, AR 72936 2008-02-01
1366639684 Rhonda Michele Barnes Social Worker 300 Westwood Ave, Greenwood, AR 72936 2007-10-01
1619018793 Robert Gary Mack II Contractor 2712 Edgewater Drive, Greenwood, AR 72936 2007-02-09
1003963075 Brent Wade Dunavin Dentist 7 W Center Street, Greenwood, AR 72936 2007-01-04
1891851804 James A Burgess Jr. Dentist 7 West Center, Greenwood, AR 72936 2006-12-28
1467512079 Terrell Wayne Bailey Dentist 520 Hamilton Lane, Greenwood, AR 72936 2006-12-12
1801808837 Health Depot Pharmacies, LLC Durable Medical Equipment & Medical Supplies 1530 W Center, Greenwood, AR 72936 2006-08-11
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154760759 Mary Boone Hester Psychologist 1125 Cambridge Ave E, Greenwood, SC 29646-2946 2013-06-18
1245679844 Ginny Gast Psychologist 1125 Cambridge Ave E, Greenwood, SC 29646-2946 2013-06-18
1568801140 Pamela Rogers Faulkner Psychologist 1125 Cambridge Ave E, Greenwood, SC 29646-2946 2013-06-18
1558709592 Susan Beveridge Psychologist 1125 Cambridge Ave E, Greenwood, SC 29646-2946 2013-06-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467059824 Logan Sheets Psychologist 370 N Drewrys Bluff Dr, Fayetteville, AR 72704-7103 2020-10-07
1770111668 Shelby Bullock Psychologist 3867 Serenity St, Springdale, AR 72764-6521 2020-03-28
1275970675 Lisa Pollard Psychologist 6406 Timber Ridge Dr, Rogers, AR 72758-8088 2013-05-27
1700176542 Ida Linda Trice Psychologist 122 Rose, Berryville, AR 72616 2011-04-13
1073815502 Jason Robert Bell Psychologist 2518 Silver Maple Dr, Little Rock, AR 72210-5658 2010-12-05
1700017498 Jennifer Brooke Hennessey Psychologist 611 Court St Ste 1, Conway, AR 72032-5417 2009-07-29
1942427562 City of Charleston Supt of Schools District 9 Psychologist 125 West Main Street, Charleston, AR 72933 2007-04-18
1114525284 Kyla Warnick Psychologist 220 W 10th St, Russellville, AR 72801-6034 2020-10-12
1013408137 Mara Elizabeth Wood Psychologist 204 S 24th St, Rogers, AR 72758-1129 2018-05-24
1760907091 Micah Baker Psychologist 1601 S Rainbow Rd, Rogers, AR 72758 2017-08-08
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Competitor

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City GREENWOOD
Zip Code 72936

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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