Doctor Name: | MS. PATRICIA A CLIFFORD |
NPI Number: | 1255594578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LCPC |
License Number: | LC2818 |
Business Practice Address: | 16013 Pheasant Ridge Ct Woodbine, MD - 217978447 |
Business Phone Number: | 3015200065 |
Business Fax Number: | |
Mailing Address: | 16013 Pheasant Ridge Ct, WOODBINE |
State: | MD |
Postal Code: | 217978447 |
Phone Number: | 3015200065 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC2818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |