Individual
JAY CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6 LONGFORD ST, PHILADELPHIA, PA 19136-2028
(215) 990-9541
Mailing address
6 LONGFORD ST, PHILADELPHIA, PA 19136-2028
(215) 990-9541
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005752L
PA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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