DR. MICHAEL E CLARK PH.D. NPI 1487626172

NPI Information

DR. Michael E Clark, PH.D. is a health service psychologist in Tampa, FL. The provider is 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). DR. Michael E Clark, PH.D. NPI is 1487626172. 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:

13000 BRUCE B DOWNS BLVD
PAIN PROGRAM (2CW)
TAMPA, FL
ZIP 33612-745
Phone: (813) 972-2000
Fax: (813) 978-5867

The enumeration date for this NPI number is 2/6/2006 and was last updated on 7/12/2007.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.