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

Tina Marie Clark, FSP

Individual provider Peer Specialist · NPI 1871000877

Tina Marie Clark, FSP is a Peer Specialist in Idabel, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

411 S Central Ave
Idabel, OK 74745-6059
Phone: (580) 286-5045
Fax: (580) 286-5721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1871000877
Entity typeIndividual (Type 1)
GenderFemale
Credentials FSP
Sole proprietorNo
NPI enumeratedDecember 29, 2017
Last updated in NPPESDecember 29, 2017

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