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).
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 |
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 |
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 |
Street Address |
320 N MAIN ST |
City | GREENWOOD |
State | AR |
Zip Code | 72936-7031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568494201 | Shannon Lee Garner | Social Worker | 320 N Main St, Greenwood, AR 72936-7031 | 2006-07-06 |
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 |
Find all providers in zip 72936 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
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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.