| Doctor Name: | DR. PAUL R CLEMENTS |
| NPI Number: | 1053402974 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP, PHD |
| License Number: | PY4897 |
| Business Practice Address: | 1727 Banks Rd Margate, FL - 330637744 |
| Business Phone Number: | 7276415507 |
| Business Fax Number: | |
| Mailing Address: | Po Box 934068, MARGATE |
| State: | FL |
| Postal Code: | 330934068 |
| Phone Number: | 9543662700 |
| Fax Number: | 9543662056 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 08/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY4897 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |