Maxwell Clark, is a
Psychologist - School based in Marshall, Wisconsin. Maxwell Clark is licensed to practice in * (Not Available) (license number ) and their current practice location is
617 Madison St, Marshall, Wisconsin. This provider can be reached at their office (for appointments etc.) via phone at
(608) 655-3466.
NPI number for Maxwell Clark is 1083545107 and their current mailing address is 617 Madison St, Marshall, Wisconsin. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1083545107.
Healthcare Provider's Profile
| Full Name | Maxwell Clark |
|---|
| Gender | |
|---|
| Speciality | Psychologist - School |
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| Location | 617 Madison St, Marshall, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083545107
- Provider Enumeration Date: 05/27/2026
- Last Update Date: 05/27/2026
Medical Identifiers
Medical identifiers for Maxwell Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083545107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | (* (Not Available)) | 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. Maxwell 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 Address | Practice Location Address |
Maxwell Clark, 617 Madison St, Marshall, WI 53559-9273 Ph: Not Available | Maxwell Clark, 617 Madison St, Marshall, WI 53559-9273 Ph: (608) 655-3466 |
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