Lookup NPI Numbers from the NPI Registry
NPI Profile for MARYBETH CLARK in METROPOLIS, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1053295675 |
|
| Status | Active | |
| Credentials | BS | |
| Entity | Individual | |
| Enumeration date | 08/05/2025 | |
| Last updated | 08/05/2025 - About 10 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARYBETH CLARK
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MARYBETH CLARK, BS