Doctor Name: | DR. SUSAN V. CLAYTON |
NPI Number: | 1003014754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, LPC |
License Number: | 37PC00079900 |
Business Practice Address: | 1116 Maimone St Toms River, NJ - 087538328 |
Business Phone Number: | 7323411595 |
Business Fax Number: | |
Mailing Address: | 1116 Maimone St, TOMS RIVER |
State: | NJ |
Postal Code: | 087538328 |
Phone Number: | 7323411595 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00079900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |