NPI 1760460802 · live from the CMS NPI Registry
Mary Holland Hoback Clark, MD
Psychiatry & Neurology, Psychiatry in Institute, WV. National Provider Identifier 1760460802, active.
NPI record
| NPI | 1760460802 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | Barron Dr, Institute, WV 25112 |
| Practice phone | 304-766-4855 |
| Mailing address | Po Box 1004, Barron Dr, Institute, WV 25112 |
| Enumerated | January 9, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
| Other names | Holly Clark |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 10892 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.