Individual
DR. CARTER J CLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
6032 CHRISTIAN ST, PHILA, PA 19143-2314
(215) 990-7714
(215) 748-3442
Mailing address
6032 CHRISTIAN ST, PHILA, PA 19143-2314
(215) 990-7714
(215) 748-3442
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35SI00489800
NJ
103TC0700X
Clinical Psychologist
Primary
PS005965L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101610526 0001
—
PA
Enumeration date
10/22/2007
Last updated
02/21/2012
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