Clark, Mary Katherine

Clark, Mary Katherine is an individual health care provider with primary practice located at 320 N Main St , Greenwood AR 72936-7031. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Clark, Mary Katherine can be contacted via phone (479) 996-1414.

Contact Information

Primary practice address
320 N Main St Greenwood AR 72936-7031
Phone: (479) 996-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 83-07E-I Arkansas
Behavioral Health & Social Service Providers / Family 103TF0000X 83-07E-I Arkansas
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 83-07E-I Arkansas
Behavioral Health & Social Service Providers / School 103TS0200X 83-07E-I Arkansas

Profile Details

NPI number 1750546693
LBN Legal business name Clark, Mary Katherine
Credentials M.S.,LPE-I
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Jul 21st, 2008 - about 16 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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