Individual
ROBERT CLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8873 QUIMPER PL, SHREVEPORT, LA 71105-5620
(318) 686-0012
Mailing address
8873 QUIMPER PL, SHREVEPORT, LA 71105-5620
(318) 686-0012
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1252
LA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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