Clark, Mariel Lakeitha

Clark, Mariel Lakeitha is an individual health care provider with primary practice located at 191 Katherine Ave , Ozark AL 36360-1976. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Clark, Mariel Lakeitha can be contacted via phone (334) 774-7704.

Contact Information

Primary practice address
191 Katherine Ave Ozark AL 36360-1976
Phone: (334) 774-7704
Fax: (334) 774-7704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1838 Alabama

Profile Details

NPI number 1013343607
LBN Legal business name Clark, Mariel Lakeitha
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Sep 16th, 2013 - about 12 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.

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