DR. MARY CLARK, PH.D.
Psychologist - Counseling
Active
Individual
NPI: 1659374775
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Counseling | 103TC1900X | Yes | PSY 17897 (CA) |
| Marriage & Family Therapist | 106H00000X | No | MFC 17748 (CA) |
Frequently Asked Questions
NPI 1659374775 is the National Provider Identifier for DR. MARY CLARK, PH.D., a Psychologist - Counseling provider located in San Diego, CA. This NPI was enumerated on May 23, 2005.
DR. MARY CLARK, PH.D. practices at 10981 SAN DIEGO MISSION RD, STE 114, San Diego, CA 92108.
Quick Facts
- NPI
- 1659374775
- Type
- Individual
- Enumerated
- May 23, 2005
- Last Updated
- Nov 1, 2011
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