person
Dr. Michael E Clark, PHD
Health Service Psychologist in Tampa, Florida
NPI 1487626172

Michael E Clark is a Health Service Psychologist based in Tampa, FL and is specialized in Health Service. Michael E Clark practices in Tampa, FL and has the professional credentials of PHD. The NPI Number for Michael E Clark is 1487626172 and holds a License No. PY3564 (Florida).

The current practice location address for Michael E Clark is 13000 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-972-2000 and via fax at 813-978-5867.

Location: 13000 Bruce B Downs Blvd, Tampa, FL, 33612-4745
person
Provider Profile Details
NPI Number
1487626172
Provider Name
Michael E Clark
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
13000 Bruce B Downs Blvd, Tampa, FL, 33612-4745
Phone Number
813-972-2000
Fax Number
813-978-5867
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13000 Bruce B Downs Blvd
City
State
Zip
33612-4745
Phone Number
813-972-2000
Fax Number
813-978-5867
person
Provider Business Mailing Address Details
Address
13000 Bruce B Downs Blvd
City
State
Zip
33612-4745
Phone Number
813-972-2000
Fax Number
813-978-5867
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
PY3564 (Florida)
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, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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