| Doctor Name: | MARIE ROMAN-CLIFTON |
| NPI Number: | 1003911124 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY15513 |
| Business Practice Address: | 751 S Bascom Ave Psychology Services-pm&r San Jose, CA - 951282604 |
| Business Phone Number: | 4088854445 |
| Business Fax Number: | |
| Mailing Address: | 751 S Bascom Ave, SAN JOSE |
| State: | CA |
| Postal Code: | 951282604 |
| Phone Number: | 4088855000 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 09/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | PSY15513 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |