Klisch, Mark C
Klisch, Mark C is an sole proprietor health care provider with primary practice located at 4100 W Kennedy Blvd Suite 327, Tampa FL 33609-2288. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Klisch, Mark C can be contacted via phone (813) 288-8060.Contact Information
Primary practice address
4100 W Kennedy Blvd Suite 327
Tampa FL 33609-2288
Phone: (813) 288-8060
Fax: (813) 288-8068
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY3077 | Florida |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY3077 | Florida |
Profile Details
NPI number | 1366492878 |
---|---|
LBN Legal business name | Klisch, Mark C |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 12th, 2006 |
Last updated | Feb 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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