Individual
CLAYTON TODD MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
HQ, 1ST SPECIAL FORCES GROUP (AIRBORNE), BLDG 09937 GARFIELD ST., JOINT BASE LEWIS-MCCHORD, WA 98433-9500
(253) 967-3102
Mailing address
HQ, 1ST SPECIAL FORCES GROUP (AIRBORNE), BLDG 09937 GARFIELD ST., JOINT BASE LEWIS-MCCHORD, WA 98433-9500
(253) 967-3102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1490
AL
Other
Enumeration date
06/16/2008
Last updated
12/10/2015
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