Provider Demographics
NPI:1356548853
Name:ABLES, CLIFTON MCLESKY (PSYD)
Entity type:Individual
Prefix:DR
First Name:CLIFTON
Middle Name:MCLESKY
Last Name:ABLES
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 W WOODBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-7211
Mailing Address - Country:US
Mailing Address - Phone:863-273-0101
Mailing Address - Fax:
Practice Address - Street 1:2965 W WOODBRIDGE RD
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-7211
Practice Address - Country:US
Practice Address - Phone:863-273-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 9536103T00000X, 103TA0700X, 103TB0200X, 103TF0000X, 103TF0200X, 103TH0100X, 103TC0700X, 103TH0100X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9536OtherFLORIDA DEPARTMENT OF HEALTH
NY02366503Medicaid