DR. THOMAS WILLIAM CLYBURN PH.D. NPI 1285879361

NPI Information

NPI: 1285879361
Provider Name: DR. THOMAS WILLIAM CLYBURN, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
318 OLD MAIN ST
SUITE 21
BRADENTON, FL
ZIP 34205
Phone: (941) 224-3800
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DR. Thomas William Clyburn, PH.D. is a mental health counselor in Bradenton, FL. DR. Thomas William Clyburn, PH.D. NPI is 1285879361. 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:

318 OLD MAIN ST
SUITE 21
BRADENTON, FL
ZIP 34205-819
Phone: (941) 224-3800
Fax: (941) 745-1630

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/13/2012.

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	101YM0800X	Counselor	Mental Health	MH7314	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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