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MARY EGAN CLARK LCGC
NPI 1699476663
Genetic Counselor, MS in Philadelphia, PA

Active since March 15, 2023
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 425-3154(267) 425-0007 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Egan Clark Lcgc NPPES

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

MARY EGAN CLARK LCGC (NPI 1699476663) is an individual genetic counselor, ms provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (GC000886) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1699476663
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameMARY EGAN CLARKCredential: LCGC
Location Address3500 CIVIC CENTER BLVDPhiladelphia, PA 19104-4395
Mailing Address3501 Civic Center Blvd, Colket #3019Philadelphia, PA 19104 · (267) 425-3154 · Fax (267) 425-0007
Phone(267) 425-3154
Fax(267) 425-0007
Sole ProprietorNo
Enumeration DateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1699476663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License✔ Licensed in PA · GC000886
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
3500 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA M HAMMONDS PH.D.
Psychologist (Clinical)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BRITTANY E HOYLE PA-C
Physician Assistant
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3376
ELIZABETH ALANA PUMIGLIA CRNP
Nurse Practitioner
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (518) 225-7417
DR. KEMAR VANINA PRUSSIEN-OKAFOR PHD
Psychologist (Clinical)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
LUCY BERMAN BRANCAZIO
Genetic Counselor, MS
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4033
DR. CHRISTOPHER JOHN LAROSA MD
Pediatrics (Pediatric Nephrology)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
STEPHANIE LAUREN GONZALES
Pediatrics (Pediatric Endocrinology)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (267) 391-8776
JASMINE ROSS
Nurse Practitioner
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Mary Egan Clark's NPI number?

The NPI number for Mary Egan Clark is 1699476663. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Mary Egan Clark located?

Mary Egan Clark practices at 3500 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 425-3154.

What is Mary Egan Clark's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Mary Egan Clark was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.