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

Mr. Douglass Burns Clark, MDIV

Individual provider Marriage & Family Therapist · NPI 1386470789

Mr. Douglass Burns Clark, MDIV is a Marriage & Family Therapist in Canaan, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

1559 County Route 5
Canaan, NY 12029
Phone: (917) 968-2493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 000546 (NY)

Record details

NPI number1386470789
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV
Sole proprietorYes
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024