NPI 1013343607

Mariel Lakeitha Clark, PSYD

Practitioner Psychologist Ozark, AL

Practice location

Address: 191 Katherine Ave, Ozark, AL 36360-1976
Phone: (334) 774-7704
Fax: (334) 774-7704

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1838 (AL)

Other Psychologist providers in Alabama →

Registry record

NPI: 1013343607
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2013
Record last updated: 16 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.