Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY ANN CLARK, PH.D.

Deactivated

DR. MARY ANN CLARK, PH.D. is a Clinical Psychologist healthcare provider located in BRADENTON, Florida. NPI 1174526578 is deactivated in the NPPES registry. Verify at CMS.

Clinical Psychologist · BRADENTON, FL

This NPI has been deactivated. The record was deactivated on March 20, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1174526578
Provider Type: Individual
Gender: Female
NPI Issued: May 31, 2005 (0.8027397260274 yrs)
Last Updated: Oct 18, 2007
Deactivated: Mar 20, 2006
License: PY0004772 (FL)

Practice Information

Address: 300 RIVERSIDE DR E

STE 2000

BRADENTON, FL, 342081023
Browse FL providers · Browse ZIP 34208
Phone: 9417468822
Fax: 9417468844
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in BRADENTON, FL

Name	Credential	NPI
DR. JENNIE LYNNE ROBB	PH.D.	1336131945
DR. DAVID JAMES HOBBS	PHD	1023003886
DR. RICHARD LEE BELSHAM	PH.D.	1750306403
DR. MICHAEL B SPELLMAN	PH.D.	1891850772
DR. KAREN MARIE MILO	PH.D.	1275669921
DR. ROBERT J GREENE	PHD	1558490987

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.