Doctor Name: | DR. CARTER J CLOYD |
NPI Number: | 1073702536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY. D. |
License Number: | 35SI00489800 |
Business Practice Address: | 6032 Christian St Phila, PA - 191432314 |
Business Phone Number: | 2159907714 |
Business Fax Number: | 2157483442 |
Mailing Address: | 6032 Christian St, PHILA |
State: | PA |
Postal Code: | 191432314 |
Phone Number: | 2159907714 |
Fax Number: | 2157483442 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35SI00489800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |