THOMAS LYON CLARK (NPI# 1306061502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306061502 |
| Entity Type | Individual |
| Full Name | THOMAS LYON CLARK |
| Credential | PH.D. |
| Practice Address |
1515 Payne St Tallahassee FL 32303-5796 |
| Practice Telephone | 8503459119 |
| Mailing Telephone | 8502241515 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY3647 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1861053811 | Thomas J Clark | Massage Therapist | 16615 North Rd Unit B, Bothell, WA 98012-5983 | 2019-06-20 |
| 1922417005 | Thomas Boyle Clark IIi | Pathology | 3619 Pacific Ave, Tacoma, WA 98418-7921 | 2014-08-04 |
| 1053558205 | Thomas Edward Clark | Student in an Organized Health Care Education/Training Program | 980 Western Avenue, Albany, NY 12202 | 2009-01-09 |
| 1255593273 | Thomas James Clark | Licensed Practical Nurse | 8703 Shear Dr, Powell, OH 43065-8835 | 2008-06-30 |
| 1508044181 | Thomas B Clark | Chiropractor | 2092 Casa De Vereda, Vista, CA 92084-4223 | 2008-02-05 |
| 1487877213 | Thomas R Clark | Chiropractor | 2418 W 9th Ave, Amarillo, TX 79106-6620 | 2007-04-10 |
| 1023157153 | Thomas Clark | Dentist | 4402 Airline Dr, Houston, TX 77022-2934 | 2007-02-05 |
| 1972649499 | Thomas Colin Clark | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206 | 2007-01-30 |
| 1720133671 | Thomas David Clark | Optometrist | 1401 N Green River Rd, Evansville, IN 47715-2428 | 2007-01-23 |
| Street Address |
1515 PAYNE ST |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-5796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1386273258 | Alexandria Meyer | Psychologist | 2031 Misty Hollow Rd, Tallahassee, FL 32312-3562 | 2020-04-03 |
| 1194299578 | Kellery Kilgore | Psychologist | 2634 Capital Cir Ne Bldg B, Tallahassee, FL 32308-4106 | 2019-01-18 |
| 1912470741 | Yolanda K.h. Bogan | Psychologist | 1807 Vineland Ln, Tallahassee, FL 32317-7925 | 2019-01-03 |
| 1336689652 | Casey W. Schmidt, Phd | Psychologist | 3325 Thomasville Rd Ste C, Tallahassee, FL 32308-7970 | 2017-03-06 |
| 1396184818 | Psychology and Rehabilitation Services, P.a. | Psychologist | 3494 Weems Rd, Ste. B-2, Tallahassee, FL 32317-7503 | 2013-06-18 |
| 1346592748 | Waters & Kaklamanos | Psychologist | 1664 Metropolitan Cir, Suite 2, Tallahassee, FL 32308-7784 | 2012-10-09 |
| 1285982314 | Michael J. Kofler | Psychologist | 1107 W Call St, Tallahassee, FL 32306-2424 | 2012-08-21 |
| 1407144124 | Jermaine Tyron Robertson | Psychologist | 1512 Blountstown St, Tallahassee, FL 32304-1109 | 2011-07-14 |
| 1194023622 | Christi Washington Cabrera | Psychologist | 267 John Knox Rd, Suite 104, Tallahassee, FL 32303-6611 | 2011-03-08 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
Please comment or provide details below to improve the information on THOMAS LYON CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.