MEDICARE: DR. DAVID CLAY 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	103TC0700X	Clinical Psychologist	PY7722	FL

General Provider Information

NPI Number	:	1609443647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CLAY PH.D.

Provider Business Mailing Address
First Line	:	435 N JACKSON ST
Second Line	:
City	:	QUINCY
State	:	FL
Zip	:	32351-1731
Country	:	US
Telephone Number	:	850-345-7989
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 N JACKSON ST
Second Line	:
City	:	QUINCY
State	:	FL
Zip	:	32351-1731
Country	:	US
Telephone Number	:	850-345-7989
Fax Number	:

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

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	06/08/2021

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Directions to “ DR. DAVID CLAY PH.D.” Practice Location

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