Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 147 | WV |
Y | 103T00000X | Psychologist | 147 | WV |
NPI | 1013967967 |
---|---|
Provider Name | Dr. David A Clayman |
First Address | Charleston, WV 25314 |
Second Address | Charleston, WV 25314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0163852000 | (05) | WV |