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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL E CLARK, PH.D.

Active Sole Proprietor

DR. MICHAEL E CLARK, PH.D. is a Health Service Psychologist healthcare provider located in TAMPA, Florida. NPI 1487626172 is currently active in the NPPES registry. Verify at CMS.

Health Service Psychologist · TAMPA, FL

Registration Details

NPI Number
1487626172
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2006 (20.550799571174 yrs)
Last Updated
Jul 12, 2007
License
PY3564 (FL)
Sole Proprietor
Yes

Practice Information

Address
13000 BRUCE B DOWNS BLVD
PAIN PROGRAM (2CW)
TAMPA, FL, 336124745
Browse FL providers · Browse ZIP 33612
Phone
8139722000
Fax
8139785867
Primary Specialty
Health Service Psychologist
103TH0100X

Other Health Service Psychologist Providers in TAMPA, FL

Name Credential NPI
DR. ELIZABETH A. JENKINS PH.D. 1912971938
NICOLE STEPHANIE MENZIE M.A. 1851744767
NATASHA POLLARD 1700397353
DR. FRANK HENRY SEABROOK III PSY.D. 1750175360
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.