| Doctor Name: | DR. GEORGE ARTHUR CLUM |
| NPI Number: | 1093867194 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH D |
| License Number: | 0810000608 |
| Business Practice Address: | 305 Washington St Sw Blacksburg, VA - 24060 |
| Business Phone Number: | 5405523046 |
| Business Fax Number: | 5405520119 |
| Mailing Address: | 305 Washington St Sw, BLACKSBURG |
| State: | VA |
| Postal Code: | 24060 |
| Phone Number: | 5405523046 |
| Fax Number: | 5405520119 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810000608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |