Doctor Name: | MARIE PAYNE CLORE |
NPI Number: | 1134257256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S. |
License Number: | 0803000113 |
Business Practice Address: | 897 Hendrick St Culpeper, VA - 227012201 |
Business Phone Number: | 5402298852 |
Business Fax Number: | |
Mailing Address: | 2553 Wildwood Cir, AMISSVILLE |
State: | VA |
Postal Code: | 201062501 |
Phone Number: | 5402298852 |
Fax Number: | 5049377531 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 12/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 0803000113 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |