Individual
TRACI CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4762 GREYLOCK ST, BOULDER, CO 80301-4209
(719) 648-6451
Mailing address
4762 GREYLOCK ST, BOULDER, CO 80301-4209
(719) 648-6451
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2731
CO
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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