Provider Demographics
NPI:1922188473
Name:CLEMENTS & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CLEMENTS & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSIMERI
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENTS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-804-8975
Mailing Address - Street 1:2500 W LAKE MARY BLVD
Mailing Address - Street 2:STE 111
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3501
Mailing Address - Country:US
Mailing Address - Phone:407-804-8975
Mailing Address - Fax:407-650-3152
Practice Address - Street 1:2500 W LAKE MARY BLVD
Practice Address - Street 2:STE 111
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3501
Practice Address - Country:US
Practice Address - Phone:407-804-8975
Practice Address - Fax:407-650-3152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty