MEDICARE: DR. JOAN KAY CLAYTON PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	33156	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598877102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN KAY CLAYTON PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 3041
Second Line	:
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-3077
Country	:	US
Telephone Number	:	512-710-0551
Fax Number	:	512-717-6337

Provider Business Practice Location Address
First Line	:	5524 BEE CAVES RD STE H2
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5246
Country	:	US
Telephone Number	:	512-710-0551
Fax Number	:	512-717-6337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/26/2023

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