Michael E Clark is a Health Service in Tampa, Florida. Michael E Clark practices all healthcare services and medical treatments related to Health Service. The NPI Number for Michael E Clark is 1487626172. The last update date is 2007-07-12.
Michael E Clark's current location address is 13000 Bruce B Downs Blvd, Tampa, Florida. You can contact this provider via phone number 8139722000 and fax number 8139785867. The mailing address for Michael E Clark is 13000 Bruce B Downs Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael E Clark |
|---|---|
| Address | 13000 Bruce B Downs Blvd, Tampa, Florida |
| Phone Number | 8139722000 |
| Fax Number | 8139785867 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487626172 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 13000 Bruce B Downs Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336124745 |
| Phone Number | 8139722000 |
| Fax Number | 8139785867 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | PY3564 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Post Comment/ Review Below
What is the Michael E Clark's unique identification number?
The Michael E Clark has been assigned the NPI (National Provider Identifier) Number 1487626172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Michael E Clark is located?
The Michael E Clark is situated at the following address: 13000 Bruce B Downs Blvd, Tampa, FL, 336124745.
What is the Michael E Clark's specialty and taxonomy code?
The Michael E Clark's specialty is Health Service, and the corresponding taxonomy code is 103Th0100X.
When did Michael E Clark receive its 1487626172 assignment?
The Michael E Clark was assigned its 1487626172 on 2006-02-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Michael E Clark most recently updated or revised?
The information pertaining to Michael E Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-12.
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