| Mark L Clark, PHD | |
|
2200 Ada Ave Ste 302, Conway, AR 72034-4985 | |
| (501) 932-0352 | |
| (501) 932-0354 |
| Full Name | Mark L Clark |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 37 Years |
| Location | 2200 Ada Ave Ste 302, Conway, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306921853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 89-13P (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Noydeen Sisters Medical Group And Clinics Inc | 7618260092 | 10 |
| Entity Name | The Bridgeway Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962473306 PECOS PAC ID: 7113819376 Enrollment ID: O20040325000306 |
| Entity Name | Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649381120 PECOS PAC ID: 3173583564 Enrollment ID: O20041011000417 |
| Entity Name | Conway Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417024662 PECOS PAC ID: 3173428414 Enrollment ID: O20050825001031 |
| Entity Name | Noydeen Sisters Medical Group & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285084038 PECOS PAC ID: 7618260092 Enrollment ID: O20160722000140 |
| Entity Name | Conway Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255879656 PECOS PAC ID: 3173428414 Enrollment ID: O20170403000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Clark, PHD 2200 Ada Ave Ste 302, Conway, AR 72034-4985 Ph: (501) 932-0352 | Mark L Clark, PHD 2200 Ada Ave Ste 302, Conway, AR 72034-4985 Ph: (501) 932-0352 |
Susan Sobel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034 | |
Mrs. Cariann M Bergner-moore, PSYD/PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1312 Donaghey Ave, Conway, AR 72034 Phone: 501-358-6606 | |
Wendi Elliott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034 | |
Kimberly Ann Callaway Gentry, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-358-6396 | |
Susan E Schaefer, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Sarah Lindeman Root, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Bob Courtway Dr Ste 9, Conway, AR 72032 Phone: 501-812-4268 | |
Ms. Samantha Sewell Short, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-358-6396 Fax: 501-588-0484 |