Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Ann Clark, PHD

Individual provider Clinical Psychologist · NPI 1174526578

Dr. Mary Ann Clark, PHD is a Clinical Psychologist in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

300 Riverside Dr E Ste 2000
Bradenton, FL 34208-1023
Phone: (941) 746-8822
Fax: (941) 746-8844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY0004772 (FL)

Record details

NPI number1174526578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESOctober 18, 2007

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