Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark C Klisch, PHD

Individual provider Clinical Neuropsychologist · NPI 1366492878

Dr. Mark C Klisch, PHD is a Clinical Neuropsychologist in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4100 W Kennedy Blvd Ste 327
Tampa, FL 33609-2288
Phone: (813) 288-8060
Fax: (813) 288-8068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY3077 (FL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PY3077 (FL)

Record details

NPI number1366492878
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 12, 2006
Last updated in NPPESFebruary 19, 2008
Mailing address4100 W Kennedy Blvd, Suite 327, Tampa, FL 33609-2288

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