DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: M CLARK CANINE MA LMHC NCC

MEDICARE: M CLARK CANINE MA LMHC NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorMH 6630FL

General Provider Information

NPI Number : 1275545576
Entity Type Code : Individual
Provider Name (Legal Business Name) : M CLARK CANINE MA LMHC NCC
Provider Business Mailing Address
First Line : 2281 LEE RD
Second Line : SUITE 206
City : WINTER PARK
State : FL
Zip : 32789-7203
Country : US
Telephone Number : 407-647-4902
Fax Number :
Provider Business Practice Location Address
First Line : 2281 LEE RD
Second Line : SUITE 206
City : WINTER PARK
State : FL
Zip : 32789-7203
Country : US
Telephone Number : 407-647-4902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1003089889 — SUNITA RUSE PT
Practice Location Address:
7203 ALOMA AVE
WINTER PARK, FL
32792-7101
Practice Phone: 321-972-3960
Practice Fax: 321-972-3960
1497011126 — FELICE CENTER FOR PEDIATRIC REHABILITATION, INC.
Practice Location Address:
7203 ALOMA AVE
WINTER PARK, FL
32792-7101
Practice Phone: 321-972-3960
Practice Fax:
1912305715 — JILLANNE ABIGAIL STEARNS DPT
Practice Location Address:
7203 ALOMA AVE
WINTER PARK, FL
32792-7101
Practice Phone: 321-972-3960
Practice Fax:
1073998894 — MRS. CHRISTINE FALKNER OTR/L
Practice Location Address:
7203 ALOMA AVE
WINTER PARK, FL
32792-7101
Practice Phone: 321-972-3960
Practice Fax:
1033668819 — PRISCILLA CALLUE
Practice Location Address:
7203 ALOMA AVE
WINTER PARK, FL
32792-7101
Practice Phone: 321-972-3960
Practice Fax: 321-972-3960
1942722608 — MRS. SHANA COLE ROTHMAN
Practice Location Address:
7203 ALOMA AVE
WINTER PARK, FL
32792-7101
Practice Phone: 321-972-3960
Practice Fax:

Directions to “ M CLARK CANINE MA LMHC NCC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.