Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 3506 | NC |
NPI | 1093941197 |
---|---|
Provider Name | Dr. Jennifer D. Clayton |
First Address | High Point, NC 27262-7254 |
Second Address | High Point, NC 27262-3929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 02/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6001174 | (05) | NC |