Individual
DR. PAUL ROBERT CLAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7272 PARK CIRCLE DR, SUITE 170, HANOVER, MD 21076-1303
(410) 712-4444
(410) 712-4216
Mailing address
6182 CAMPFIRE, COLUMBIA, MD 21045-4050
(410) 992-5289
(410) 712-4216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
950
MD
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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