| Dr Molly Clark, PHD | |
|
2101 Robin Ave Ste 5, Hammond, LA 70403-5773 | |
| (985) 230-5390 | |
| (985) 230-5391 |
| Full Name | Dr Molly Clark |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 17 Years |
| Location | 2101 Robin Ave Ste 5, Hammond, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992900591 | NPI | - | NPPES |
| 01289231 | Medicaid | MS | |
| 1794 | Other | LA | LICENSE |
| 302I681423 | Other | MS | MEDICARE PTAN |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 956 |
| Entity Name | State of Mississippi-university of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Molly Clark, PHD 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 Ph: (985) 345-2700 | Dr Molly Clark, PHD 2101 Robin Ave Ste 5, Hammond, LA 70403-5773 Ph: (985) 230-5390 |
Dr. Michael Catalanello, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1250 Sw Railroad Ave, Suite 240 B, Hammond, LA 70403 Phone: 985-634-9660 |
Dr. Brenna Sapotichne, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42334 Deluxe Plz Ste 2, Hammond, LA 70403 Phone: 985-662-5520 |
Dr. James Thaddeus Russell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1131 S Morrison Blvd, Va Outpatient Clinic, Hammond, LA 70403 Phone: 985-340-2195 Fax: 985-340-3834 |
Dr. Pamela B Deters, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42334 Deluxe Plz, Suite 2, Hammond, LA 70403 Phone: 985-662-5520 Fax: 985-662-5525 |
Herschel L. Brunner, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 N Morrison Blvd Ste G, Hammond, LA 70401 Phone: 985-543-4113 |
Dr. Jeanette Michelle Edmonds, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42334 Deluxe Plz Ste 2, Hammond, LA 70403 Phone: 985-662-5520 |
Dr. James Charles Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 906 C M Fagan Dr, Suite 5b, Hammond, LA 70403 Phone: 985-345-2440 Fax: 985-345-2440 |