Individual
MR. CLAY STEPHEN CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
4660 HIGH ROCK ROAD, BOOMER, NC 28606
(336) 977-1794
Mailing address
7025 HWY 16 SOUTH, JEFFERSON, NC 28640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107032
—
NC
Enumeration date
07/18/2006
Last updated
04/01/2021
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