Individual provider · Type 1 NPI

Michael E. Clark, PhD

Health Service Psychologist · Tampa, FL

NPI number 1487626172 Active

Practice location

13000 Bruce B Downs Blvd, Pain Program (2CW)
Tampa, FL 33612-4745

Call (813) 972-2000 Map

Fax (813) 978-5867

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XPY3564 (FL)

Health Service Psychologist: 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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About NPI 1487626172

Michael E. Clark, PhD's National Provider Identifier is 1487626172, issued on Feb 6, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Tampa, FL. The record was last updated on Jul 12, 2007.