Individual
DR. CLIFTON MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1319 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-3900
(504) 842-5848
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1498
LA
103TC2200X
Clinical Child & Adolescent Psychologist
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Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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