Carol Clendinen
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
115 E Citrus Ave
Eustis
, Florida 32726-4107
Carol Clendinen
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
115 E Citrus Ave
Eustis
, Florida 32726-4107
(352) 360-6582
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Carol Clendinen
- 35618 Calla Ct
- Leesburg, FL
- Zip : 34788-2306
- Fax : (352) 360-6582
- Phone : (352) 357-1500
Second Address
- Carol Clendinen
- 115 E Citrus Ave
- Eustis, FL
- Zip : 32726-4107
- Fax : (352) 360-6582
- Phone : (352) 357-1500
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FAQs
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In what state does Carol Clendinen practice in?
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Is Carol Clendinen a sole practitioner?
Is Carol Clendinen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | CAP 311 | FL |
| N | 103G00000X | Clinical Psychologist | MH 2625 | FL |
| N | 103TC0700X | Clinical Psychologist | MH 2625 | FL |
National Provider Identifier
| NPI | 1063476265 |
|---|---|
| Provider Name | Carol Clendinen |
| First Address | Leesburg, FL 34788-2306 |
| Second Address | Eustis, FL 32726-4107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Z090Q | BLUE CROSS BLUE SHIELD # (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.