| Dr Marylyn Ann Clark, PH D | |
|
222 West Gurley St. Suite 105, Prescott, AZ 86301-3244 | |
| (928) 778-1806 | |
| (928) 541-9308 |
| Full Name | Dr Marylyn Ann Clark |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 222 West Gurley St. Suite 105, Prescott, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528114451 | NPI | - | NPPES |
| EIN203600957 | Other | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC11094 (Arizona) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT0053 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marylyn Ann Clark, PH D Po Box 10246, Prescott, Prescott, AZ 86304-0246 Ph: (928) 778-1806 | Dr Marylyn Ann Clark, PH D 222 West Gurley St. Suite 105, Prescott, AZ 86301-3244 Ph: (928) 778-1806 |
Mrs. Jovanna Penney, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 510 E Moeller St, Prescott, AZ 86301 Phone: 928-420-8300 | |
Sherrina Johnson, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1680 Iron Springs Rd., Suite 101, Prescott, AZ 86305 Phone: 928-224-9101 | |
Ms. Laurie Alice Tetreault, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 240 S Montezuma St, Ste. 104, Prescott, AZ 86303 Phone: 928-717-4901 Fax: 928-771-9499 | |
Ian Huntsmith Carter, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 237 S Arizona Ave, Prescott, AZ 86303 Phone: 808-379-6656 | |
Ms. Marion Elizabeth Anderson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 812 Valley St, Prescott, AZ 86305 Phone: 928-771-0087 | |
Lee E Geldmacher, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 510 E. Moeller St., Prescott, AZ 86301 Phone: 702-335-2306 Fax: 702-947-7224 | |
Laura A Crimmins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 711 Whipple St, Prescott, AZ 86301 Phone: 928-533-2388 |