Dr. Mariel Lakeitha Clark
Psychologist
191 Katherine Ave
Ozark
, Alabama 36360-1976
Dr. Mariel Lakeitha Clark
Psychologist
191 Katherine Ave
Ozark
, Alabama 36360-1976
(334) 774-7704
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Mariel Lakeitha Clark
- 191 Katherine Ave
- Ozark, AL
- Zip : 36360-1976
- Fax : (334) 774-7704
- Phone : (334) 774-7704
Second Address
- Dr. Mariel Lakeitha Clark
- 191 Katherine Ave
- Ozark, AL
- Zip : 36360-1976
- Fax : (334) 774-7704
- Phone : (334) 774-7704
Reviews
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Is Dr. Mariel Lakeitha Clark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 1838 | AL |
| Y | 103T00000X | Psychologist | 1838 | AL |
National Provider Identifier
| NPI | 1013343607 |
|---|---|
| Provider Name | Dr. Mariel Lakeitha Clark |
| First Address | Ozark, AL 36360-1976 |
| Second Address | Ozark, AL 36360-1976 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2013 |
| Last Update Date | 16/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.