Individual
DR. RICHARD B CLUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
631 VALE LN, REXBURG, ID 83440-1671
(208) 206-3836
Mailing address
631 VALE LN, REXBURG, ID 83440-1671
(208) 206-3836
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY-202301
ID
103TB0200X
Cognitive & Behavioral Psychologist
PSY-202301
ID
103TC0700X
Clinical Psychologist
Primary
PSY-202301
ID
103TC2200X
Clinical Child & Adolescent Psychologist
PSY-202301
ID
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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