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

DR. MARYLYN ANN CLARK, PH D

Active

Marriage & Family Therapist · PRESCOTT, AZ

Registration Details

NPI Number
1528114451
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2007 (19.246488767004 yrs)
Last Updated
Jul 2, 2013
Licenses
LISAC11094 (AZ)
LMFT0053 (AZ)

Practice Information

Address
222 WEST GURLEY ST. SUITE 105
PRESCOTT, AZ, 863013244
Browse AZ providers · Browse ZIP 86301
Phone
9287781806
Fax
9285419308
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in PRESCOTT, AZ

Name Credential NPI
ROSE STEEG PHILLIPS MA, LMFT 1629154588
ELIZABETH DAHLMEIER MA, LMFT 1770660326
ELIZABETH TISMEER LMFT 1760536544
MS. LAURIE ALICE TETREAULT M.A. 1346466422
MS. MARY ELIZABETH ANDERSON MA, LMFT 1588878920
MS. MARION ELIZABETH ANDERSON LMFT 1396928107
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.