Clark, Mary Ann
Clark, Mary Ann is an individual health care provider with primary practice located at 300 Riverside Dr E Ste 2000, Bradenton FL 34208-1023. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Mary Ann can be contacted via phone (941) 746-8822.Contact Information
Primary practice address
300 Riverside Dr E Ste 2000
Bradenton FL 34208-1023
Phone: (941) 746-8822
Fax: (941) 746-8844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0004772 | Florida |
Profile Details
| NPI number | 1174526578 |
|---|---|
| LBN Legal business name | Clark, Mary Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 18th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174526578 | NPPES |
| Florida | Other | 59504 | BCBS PROVIDER NUMBER |
Popular Providers
-
Carter, Debra K
4835 27Th St West Suite 125, Bradenton FL 34207 -
Leutzinger, Cassie Jo
3914 E State Road 64 , Bradenton FL 34208-9059 -
Robb, Jennie Lynne
9070 58Th Drive East #102 , Bradenton FL 34202 -
Turmel, Heather Marie
4835 27Th St W Ste 125 , Bradenton FL 34207-1759 -
Greene, Robert J
5190 26Th St W Ste F , Bradenton FL 34207-2200 -
Duncan, Tashawna K
5245 Office Park Blvd Suite 105, Bradenton FL 34203-3444 -
Hodgens, John Bart
5325 26Th St W , Bradenton FL 34207-3012 -
Belsham, Richard Lee
5190 26Th St W Suite B, Bradenton FL 34207-2255