1. Home
  2. Directory
  3. Massachusetts
  4. Brockton
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MS. MARYELIZABETH CLARK BS
NPI 1821321795
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since September 10, 2009
1115 W CHESTNUT ST, BROCKTON, MA 02301(508) 559-0473(508) 427-5361 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Maryelizabeth Clark Bs NPPES

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

MS. MARYELIZABETH CLARK BS (NPI 1821321795) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1821321795
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. MARYELIZABETH CLARKCredential: BS
Location Address1115 W CHESTNUT STBrockton, MA 02301-7501
Mailing Address16 Pitas AveSouth Attleboro, MA 02703-7119 · (508) 399-8427
Phone(508) 559-0473
Fax(508) 427-5361
Sole ProprietorNo
Enumeration DateSeptember 10, 2009
✔ NPI 1821321795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1115 W CHESTNUT ST, Brockton, MA 02301
Open in Google Maps ↗

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.

KATHERINE SHAO
Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
KATELIN ANN SWAN
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
JENNA M MONACO
Social Worker (Clinical)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. JILLIAN MARIE HAYDEN BA PSYCHOLOGY
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. CAITLIN C EDELMAN M.A.
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
AMANDA EICK
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
REBECCA CLEGG
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
COURTNEY MAULEN
Occupational Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 559-0473

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 Maryelizabeth Clark's NPI number?

The NPI number for Maryelizabeth Clark is 1821321795. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Maryelizabeth Clark located?

Maryelizabeth Clark practices at 1115 W Chestnut St, Brockton, MA 02301. The listed phone number is (508) 559-0473.

What is Maryelizabeth Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Maryelizabeth Clark was last updated on September 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.