| Bill Clafton Psyd Lp Llc | |
|
1755 Old West Main St Ste 204 Red Wing MN 55066-3057 | |
| (651) 385-9131 | |
| (651) 385-9141 |
| Full Name | Bill Clafton Psyd Lp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1755 Old West Main St Ste 204, Red Wing, Minnesota |
| Authorized Official Name and Position | Bill George Clafton (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6513859131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Clafton Psyd Lp Llc 1755 Old West Main St Ste 204 Red Wing MN 55066-3057 Ph: (651) 385-9131 | Bill Clafton Psyd Lp Llc 1755 Old West Main St Ste 204 Red Wing MN 55066-3057 Ph: (651) 385-9131 |
| NPI Number | 1881243590 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/05/2019 |
| Medicare PECOS PAC ID | 4284965492 |
|---|---|
| Medicare Enrollment ID | O20191018001099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881243590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | William G Clafton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457592040 PECOS PAC ID: 9537490750 Enrollment ID: I20191102000242 |
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