MEDICARE: DR. PETER D CLAYDON 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	PSY8691	CA

General Provider Information

NPI Number	:	1831149772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER D CLAYDON PH.D.

Provider Business Mailing Address
First Line	:	1531 CHAPALA ST
Second Line	:	SUITE 2
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1531 CHAPALA ST
Second Line	:	SUITE 2
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3060
Country	:	US
Telephone Number	:	805-965-1332
Fax Number	:

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	11/28/2012

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