Organization
CLIFTON R. HUDSON, PH.D.
Active
Other names
Hudson Forensic Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFTON ROBERT HUDSON PH.D. (SOLE PROPRIETOR)
(800) 983-2875
Entity
Organization
Contact information
Practice address
1335 VIRGINIA ST E, CHARLESTON, WV 25301-3011
(800) 983-2875
Mailing address
1335 VIRGINIA ST E, CHARLESTON, WV 25301-3011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
908
WV
103TC0700X
Clinical Psychologist
908
WV
103TF0200X
Forensic Psychologist
Primary
908
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002673
—
WV
Enumeration date
01/14/2017
Last updated
01/14/2017
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