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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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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