Doctor Name: | DEBORAH JANE CLAY |
NPI Number: | 1457395857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | P0104016 |
Business Practice Address: | 208 Highway 62 W Berryville, AR - 726168872 |
Business Phone Number: | 4797502020 |
Business Fax Number: | 8704233199 |
Mailing Address: | Po Box 6430, SPRINGDALE |
State: | AR |
Postal Code: | 727666430 |
Phone Number: | 4797502020 |
Fax Number: | 8704233199 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P0104016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |