Individual
CATHERINE JOY CLODFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3000 BETHESDA PL, SUITE 102, WINSTON SALEM, NC 27103-3331
(336) 794-0220
(336) 794-1006
Mailing address
PO BOX 24937, WINSTON SALEM, NC 27114-4937
(336) 794-0220
(336) 794-1006
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1575
NC
103TC0700X
Clinical Psychologist
1575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000336
—
NC
Enumeration date
09/03/2006
Last updated
06/27/2014
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