MEDICARE: MR. ROBERT ALAN CLIFTON LMFT

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	106H00000X	Marriage & Family Therapist	920	KS

General Provider Information

NPI Number	:	1336333905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT ALAN CLIFTON LMFT

Provider Business Mailing Address
First Line	:	817 SW 6TH AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3130
Country	:	US
Telephone Number	:	785-230-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	817 SW 6TH STREET
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3130
Country	:	US
Telephone Number	:	785-230-2280
Fax Number	:

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

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	10/04/2010

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