| Dr Cary Leonard Clark Sr, PHD | |
|
6461 Southwest Blvd, Ft Worth, TX 76132 | |
| (817) 782-1006 | |
| (817) 737-7484 |
| Full Name | Dr Cary Leonard Clark Sr |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 6461 Southwest Blvd, Ft Worth, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164539516 | NPI | - | NPPES |
| 453710001208 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 8755 (Texas) | Primary |
| 106H00000X | Marriage & Family Therapist | 1321 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cary Leonard Clark Sr, PHD 6461 Southwest Blvd, Ft Worth, TX 76132 Ph: (817) 782-1006 | Dr Cary Leonard Clark Sr, PHD 6461 Southwest Blvd, Ft Worth, TX 76132 Ph: (817) 782-1006 |
Sharla Carpenter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Ft Worth, TX 76107 Phone: 817-569-4523 | |
Illya Jackson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1518 Vaughn Blvd, Ft Worth, TX 76105 Phone: 214-515-2079 | |
Jacqueline Ann Manley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9800 Hillwood Pkwy Ste 140, Ft Worth, TX 76177 Phone: 619-818-6516 |