Individual
DR. TAKYMMEA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2318 B ST, MERIDIAN, MS 39301-5931
(601) 773-5051
(601) 773-5546
Mailing address
PO BOX 803, MERIDIAN, MS 39302-0803
(601) 773-5051
(601) 773-5546
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3707
TN
103T00000X
Psychologist
LP6279
MN
103TC0700X
Clinical Psychologist
Primary
601060
MS
390200000X
Student in an Organized Health Care Education/Training Program
L957315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05670031
—
MS
Enumeration date
09/29/2015
Last updated
02/12/2022
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