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Individual

DR. DAVID CLINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1311 S MAIN ST, SUITE 202, MOUNT AIRY, MD 21771-5447
(301) 829-2242
Mailing address
1311 S MAIN ST, SUITE 202, MOUNT AIRY, MD 21771-5447
(301) 829-2242

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05765
MD
103TC0700X
Clinical Psychologist
05765
MD
103TC2200X
Clinical Child & Adolescent Psychologist
05765
MD
103TF0000X
Family Psychologist
05765
MD
103TP2701X
Group Psychotherapy Psychologist
05765
MD

Other

Enumeration date
04/30/2017
Last updated
04/30/2017
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