Doctor Name: | DR. DAVID MILLS CLAYTON |
NPI Number: | 1033257613 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS002306L |
Business Practice Address: | 130 W Butler Ave New Britain, PA - 189015108 |
Business Phone Number: | 2153482680 |
Business Fax Number: | 2153482680 |
Mailing Address: | 130 W Butler Ave, NEW BRITAIN |
State: | PA |
Postal Code: | 189015108 |
Phone Number: | 2153482680 |
Fax Number: | 2153482680 |
NPI Enumeration Date: | 02/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS002306L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |