IndividualActive
Mary Clark, ED.D.
NPI 1114934940 · Group Psychotherapy Psychologist · Northville, MI
Provider details
- NPI number
- 1114934940
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- ED.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 6301005828 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
41820 6 Mile Rd
104
Northville, MI 48168-2763
Phone: (248) 349-3131
Fax: (248) 349-3232
Approximate (ZIP-level) locationGet directions
Mailing address
41820 6 Mile Rd
Northville, MI 48168-2763
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.