Individual provider · Type 1 NPI

Mark C. Klisch, PhD

Clinical Psychologist · Tampa, FL

NPI number 1366492878 Active

Practice location

4100 W Kennedy Blvd, Suite 327
Tampa, FL 33609-2288

Call (813) 288-8060 Map

Fax (813) 288-8068

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XPY3077 (FL)
Clinical Psychologist Primary 103TC0700XPY3077 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1366492878

Mark C. Klisch, PhD's National Provider Identifier is 1366492878, issued on May 12, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tampa, FL. The record was last updated on Feb 19, 2008.