Larry D. Clanton, Ph.d., P.a. | |
405 Pettigru St Greenville SC 29601-3114 | |
(864) 271-3549 | |
(864) 271-8282 |
Full Name | Larry D. Clanton, Ph.d., P.a. |
---|---|
Speciality | Psychologist - Counseling |
Location | 405 Pettigru St, Greenville, South Carolina |
Authorized Official Name and Position | Larry Donald Clanton (PSYCHOLOGIST (COUNSELING)) |
Authorized Official Contact | 8642713549 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Larry D. Clanton, Ph.d., P.a. 405 Pettigru St Greenville SC 29601-3114 Ph: (864) 271-3549 | Larry D. Clanton, Ph.d., P.a. 405 Pettigru St Greenville SC 29601-3114 Ph: (864) 271-3549 |
NPI Number | 1679520100 |
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Provider Enumeration Date | 05/29/2006 |
Last Update Date | 12/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679520100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 570 (South Carolina) | Primary |
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