Individual
MR. ROBERT MCCLURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
702 W ALTO RD, KOKOMO, IN 46902-4907
(765) 453-7422
(765) 453-3773
Mailing address
P.O. BOX 6459, KOKOMO, IN 46904-6459
(765) 453-7422
(765) 453-3773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20010245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154150A
—
IN
Enumeration date
02/23/2007
Last updated
03/22/2012
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