DR. MARYLYN ANN CLARK PH D
NPI 1528114451
Marriage & Family Therapist in Prescott, AZ

Q: What is Marylyn Clark's NPI number?

The NPI number for Marylyn Clark is 1528114451. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Marylyn Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Marylyn Clark was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2007

222 WEST GURLEY ST. SUITE 105, PRESCOTT, AZ 86301(928) 778-1806(928) 541-9308 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Marylyn Ann Clark Ph D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYLYN ANN CLARK PH D (NPI 1528114451) is an individual marriage & family therapist in Prescott, Arizona, licensed in Arizona (LMFT0053) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1528114451

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. MARYLYN ANN CLARKCredential: PH D

Location Address222 WEST GURLEY ST. SUITE 105Prescott, AZ 86301-3244

Mailing AddressPo Box 10246, PrescottPrescott, AZ 86304-0246 · (928) 778-1806 · Fax (928) 541-5308

Phone(928) 778-1806

Fax(928) 541-9308

Sole ProprietorNo

Enumeration DateJanuary 25, 2007

Last NPPES UpdateJuly 2, 2013

✔ NPI 1528114451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in AZ · LMFT0053

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LISAC11094 (AZ)

222 WEST GURLEY ST. SUITE 105, Prescott, AZ 86301

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Other Identifiers 1

OtherEIN203600957Irs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marylyn Clark's NPI number?

The NPI number for Marylyn Clark is 1528114451. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Marylyn Clark located?

Marylyn Clark practices at 222 West Gurley St. Suite 105, Prescott, AZ 86301. The listed phone number is (928) 778-1806.

What is Marylyn Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Marylyn Clark was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.