Individual
LAWRENCE T. CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
315 S ALLEN ST, SUITE 218, STATE COLLEGE, PA 16801-4849
(814) 234-3010
(814) 234-2170
Mailing address
315 S ALLEN ST, SUITE 218, STATE COLLEGE, PA 16801-4849
(814) 234-3010
(814) 234-2170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-004325L
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS-004325L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02622300
CAPITAL BLUE CROSS
PA
Enumeration date
09/28/2006
Last updated
10/09/2007
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