Dr Mariel Lakeitha Clark, PSYD is a
Psychologist based in Ozark, Alabama. Dr Mariel Lakeitha Clark is licensed to practice in Alabama (license number 1838) and her current practice location is
191 Katherine Ave, Ozark, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 774-7704.
NPI number for Dr Mariel Lakeitha Clark is 1013343607 and her current mailing address is 191 Katherine Ave, Ozark, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013343607.
Healthcare Provider's Profile
| Full Name | Dr Mariel Lakeitha Clark |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 191 Katherine Ave, Ozark, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013343607
- Provider Enumeration Date: 09/16/2013
- Last Update Date: 09/16/2013
Medical Identifiers
Medical identifiers for Dr Mariel Lakeitha Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013343607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1838 (Alabama) | 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. Dr Mariel Lakeitha 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 Address | Practice Location Address |
|---|
Dr Mariel Lakeitha Clark, PSYD
191 Katherine Ave,
Ozark, AL 36360-1976
Ph: (334) 774-7704 | Dr Mariel Lakeitha Clark, PSYD
191 Katherine Ave,
Ozark, AL 36360-1976
Ph: (334) 774-7704 |
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