Individual
CLAYTON J. TODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
600 4TH ST, SIOUX CITY, IA 51101-1750
(712) 234-0220
(712) 234-0225
Mailing address
600 4TH ST, SIOUX CITY, IA 51101-1750
(712) 234-0220
(712) 234-0225
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
00328
IA
103T00000X
Psychologist
Primary
00765
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00328
IA LICENSE
IA
01
—
00765
LICENSE
IA
01
—
I13094005
MEDICARE PTAN
IA
Enumeration date
06/07/2006
Last updated
01/25/2011
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