Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KATHERINE CLARK
Active Sole ProprietorMARY KATHERINE CLARK is a Community/Behavioral Health healthcare provider located in BOISE, Idaho. NPI 1023978905 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BOISE, ID
Registration Details
- NPI Number
- 1023978905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2025 (0.75402586751433 yrs)
- Last Updated
- Nov 13, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1276 W RIVER ST STE 100BOISE, ID, 837027083Browse ID providers · Browse ZIP 83702
- Phone
- 2087818504
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MR. PATRICK KIRK | BA, MS, CPSS, CFSP | 1770941197 |
| KAITLYN TAYLOR | B.S. | 1093356487 |
| KACEY E MUELLER | — | 1043859002 |
| NAKALE BALL | — | 1083236079 |
| MRS. APRIL MICHELLE THORNDYKE | LCSW | 1013517994 |
| ARIEL TERRY | — | 1013582402 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.