Dr Mary Ann Clark, PHD - Psychologist in Bradenton, FL

Dr Mary Ann Clark, PHD is a Psychologist - Clinical based in Bradenton, Florida. Dr Mary Ann Clark is licensed to practice in Florida (license number PY0004772) and her current practice location is 300 Riverside Dr E, Ste 2000, Bradenton, Florida. She can be reached at her office (for appointments etc.) via phone at (941) 746-8822.

NPI number for Dr Mary Ann Clark is 1174526578 and her current mailing address is 300 Riverside Dr E, Ste 2000, Bradenton, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174526578.

Contact Information

Dr Mary Ann Clark, PHD
300 Riverside Dr E, Ste 2000,
Bradenton, FL 34208-1023
(941) 746-8822
(941) 746-8844

Map and Direction




Healthcare Provider's Profile

Full NameDr Mary Ann Clark
GenderFemale
SpecialityPsychologist - Clinical
Location300 Riverside Dr E, Bradenton, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174526578
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 10/18/2007

Medical Identifiers

Medical identifiers for Dr Mary Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174526578NPI-NPPES
59504OtherFLBCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY0004772 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Ann Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mary Ann Clark, PHD
300 Riverside Dr E, Ste 2000,
Bradenton, FL 34208-1023

Ph: (941) 746-8822
Dr Mary Ann Clark, PHD
300 Riverside Dr E, Ste 2000,
Bradenton, FL 34208-1023

Ph: (941) 746-8822

Reviews and Comments


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