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NPI Code Detail

MEDICARE: MRS. JOANN CLIFTON PSY

MEDICARE:  MRS. JOANN  CLIFTON  PSY
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
1103TC2200XClinical Child & Adolescent PsychologistP.2030OH

Other Identifiers

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

General Provider Information

NPI Number : 1639304801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANN CLIFTON PSY
Provider Business Mailing Address
First Line : 311 ALBERT SABIN WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2838
Country : US
Telephone Number : 513-558-5951
Fax Number : 513-558-5076
Provider Business Practice Location Address
First Line : 311 ALBERT SABIN WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2838
Country : US
Telephone Number : 513-558-5951
Fax Number : 513-558-5076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2009
Last Update Date : 11/09/2023

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