DR. MARY ANN CLARK (PH.D.) – Clinical Psychologist, NPI 1174526578

DR. MARY ANN CLARK (PH.D.) is a healthcare provider. based in Bradenton, Florida. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PY0004772 (FL). The NPI Number for DR. MARY ANN CLARK (PH.D.) is 1174526578

Main info

Female
Name
DR. MARY ANN CLARK (PH.D.)
NPI
1174526578
Phone
(941) 746-8822
Address
300 RIVERSIDE DR E
Enumeration Date
31 May 2005
Deactivation Date
20 March 2006
Reactivation Date
29 March 2006
Last Update Date
18 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARY ANN CLARK (PH.D.)

  • Riverside Drive East, Manatee, Bradenton, Manatee County, Florida, 34208, United States

    STE 2000

    BRADENTON, FL 342081023

    Phone: (941) 746-8822

    Fax: (941) 746-8844

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34208)

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Frequently asked questions

What is the 10-digit NPI for DR. MARY ANN CLARK (PH.D.)?
DR. MARY ANN CLARK (PH.D.) — NPI 1174526578 — is the standard way to identify this listing.
Is DR. MARY ANN CLARK (PH.D.) listed as active for patients and plans?
The listing shows DR. MARY ANN CLARK (PH.D.) as active in the NPI system.
What is DR. MARY ANN CLARK (PH.D.) best known for clinically?
Directory data describes DR. MARY ANN CLARK (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. MARY ANN CLARK (PH.D.) based?
DR. MARY ANN CLARK (PH.D.) is tied to Bradenton, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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