DR. Mariel Lakeitha Clark, PSY.D.

NPI #1013343607 in Ozark, Alabama

Provider Information

NPI Number: 1013343607
Entity Type: Individual
Name: DR. Mariel Lakeitha Clark, PSY.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Sep 16, 2013
Last Updated: Sep 16, 2013

Practice Location

Address: 191 KATHERINE AVE
City: Ozark
State: Alabama
ZIP Code: 36360-1976
Phone: (334) 774-7704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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