NPI 1306921853 · live from the CMS NPI Registry
Mark L Clark, PhD
Psychologist in Conway, AR. National Provider Identifier 1306921853, active.
NPI record
| NPI | 1306921853 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2200 Ada Ave Ste 302, Conway, AR 72034 |
| Practice phone | 501-932-0352 |
| Enumerated | October 25, 2006 |
| Last updated | May 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 89-13P (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.