Individual provider · Type 1 NPI

Cary Leonard Clark Sr., PhD

Marriage & Family Therapist · Fort Worth, TX

NPI number 1164539516 Active

Practice location

6461 Southwest Blvd
Fort Worth, TX 76132

Fax (817) 737-7484

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X8755 (TX)
Marriage & Family Therapist Primary 106H00000X1321 (TX)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1164539516

Cary Leonard Clark Sr., PhD's National Provider Identifier is 1164539516, issued on Aug 23, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 11, 2025.