Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY CATHERINE CLARK, MS, BSL, BSC, MT
Active Sole ProprietorMARY CATHERINE CLARK, MS, BSL, BSC, MT is a Mental Health Clinic healthcare provider located in WELLSBORO, Pennsylvania. NPI 1063865186 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · WELLSBORO, PA
Registration Details
- NPI Number
- 1063865186
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2016 (9.9034416263624 yrs)
- Last Updated
- Jul 14, 2016
- License
-
BH003138 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
62 PLAZA LNWELLSBORO, PA, 169011766Browse PA providers · Browse ZIP 16901
- Phone
- 5707247142
- Fax
- 5707246771
- Primary Specialty
-
Mental Health Clinic
261QM0801X
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.