Individual
DR. CHARLES RUSSELL CLIFTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2121 NW 40TH TERRACE, SUITE B, GAINESVILLE, FL 32605
(352) 336-2888
(352) 371-1730
Mailing address
2121 NW 40TH TER, SUITE B, GAINESVILLE, FL 32605-5813
(352) 336-2888
(352) 371-1730
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2731
FL
Other
Enumeration date
02/21/2007
Last updated
12/12/2011
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