MICHAEL CLEMENTE M.A LBS NPI 1245709104

NPI Information

NPI: 1245709104
Provider Name: MICHAEL CLEMENTE, M.A, LBS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
604 ROXBOROUGH AVE
PHILADELPHIA, PA
ZIP 19128
Phone: (908) 489-8674
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Michael Clemente, M.A, LBS is a professional counselor in Philadelphia, PA. Michael Clemente, M.A, LBS NPI is 1245709104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

604 ROXBOROUGH AVE
PHILADELPHIA, PA
ZIP 19128-709
Phone: (908) 489-8674

The enumeration date for this NPI number is 11/20/2018 and was last updated on 8/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		BH003330	PENNSYLVANIA	No
2	101YP2500X	Counselor	Professional	PC011651	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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