Mrs Mary Holland Hoback Clark, MD - Psychiatry & Neurology in Institute, WV

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Mrs Mary Holland Hoback Clark, MD is a Psychiatry & Neurology - Psychiatry physician based in Institute, West Virginia. Mrs Mary Holland Hoback Clark is licensed to practice in West Virginia (license number 10892) and her current practice location is Barron Dr, Institute, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 766-4855.

NPI number for Mrs Mary Holland Hoback Clark is 1760460802 and her current mailing address is Po Box 1004, Barron Dr, Institute, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760460802.

Contact Information

Mrs Mary Holland Hoback Clark, MD
Barron Dr,
Institute, WV 25112-1004
(304) 766-4855
(304) 766-4954

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Physician's Profile

Full NameMrs Mary Holland Hoback Clark
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
LocationBarron Dr, Institute, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760460802
  • Provider Enumeration Date: 01/09/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mrs Mary Holland Hoback Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760460802NPI-NPPES
0116792000MedicaidWV
10892OtherWVWV BD OF MEDECINE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 10892 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Holland Hoback Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mary Holland Hoback Clark, MD
Po Box 1004, Barron Dr,
Institute, WV 25112-1004

Ph: (304) 766-4855		Mrs Mary Holland Hoback Clark, MD
Barron Dr,
Institute, WV 25112-1004

Ph: (304) 766-4855

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Psychiatry & Neurology Doctors in Institute, WV


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