Active NPIIndividual providerSole proprietor

Marysa Clark, MA

Psychologist in Framingham, Massachusetts

NPI Number1710597018
Practice location
125 Newbury St Ste 500, Framingham, MA 01701-4593
Fax
—
Last updated
August 9, 2023

Marysa Clark is a Psychologist based in Framingham, MA. Marysa Clark practices in Framingham, MA and has the professional credentials of MA. The NPI Number for Marysa Clark is 1710597018 and holds a License No. PSY5000421 (MA). The current practice location address for Marysa Clark is 125 Newbury St Ste 500, Framingham, MA 01701-4593 and can be reached out via phone at 781-829-3321.

Provider Profile Details

NPI Number
1710597018
Provider Name
Marysa Clark
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
125 Newbury St Ste 500, Framingham, MA 01701-4593
Phone Number
781-829-3321
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2020
Last Update Date
August 9, 2023
Certification Date
August 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Newbury St Ste 500
Framingham, MA 01701-4593
Zip
01701-4593
Phone Number
781-829-3321
Framingham, MA 01701Get directions →

Provider Business Mailing Address Details

Address
125 Newbury St Ste 500
Framingham, MA 01701-4593
City
Framingham
State
MA
Zip
01701-4593
Phone Number
781-551-0999

License Information

License Number
PSY5000421
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marysa Clark, MA?

The NPI number of Marysa Clark, MA is 1710597018. It was assigned on August 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Marysa Clark, MA?

Marysa Clark, MA is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number PSY5000421.

Where does Marysa Clark, MA practice?

The practice location is 125 Newbury St Ste 500, Framingham, MA 01701-4593. The office can be reached at 781-829-3321 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710597018 directly on the NPPES registry website.

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