Provider Demographics
NPI:1932855889
Name:KLINGENSCHMITT, MARKUS
Entity Type:Individual
Prefix:
First Name:MARKUS
Middle Name:
Last Name:KLINGENSCHMITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 DR MARTIN LUTHER KING JR AVE
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-4341
Mailing Address - Country:US
Mailing Address - Phone:352-244-9294
Mailing Address - Fax:
Practice Address - Street 1:107 DR MARTIN LUTHER KING JR AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-4341
Practice Address - Country:US
Practice Address - Phone:352-244-9294
Practice Address - Fax:352-565-5934
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health