Individual
PAUL CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
17 FELTON PL STE A, CARTERSVILLE, GA 30120-2153
(770) 386-8996
(770) 389-8100
Mailing address
PO BOX 2348, 17 A FELTON PLACE, CARTERSVILLE, GA 30120-1690
(770) 386-8996
(770) 389-8100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562218C
—
GA
Enumeration date
10/10/2006
Last updated
07/08/2007
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