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Contact Information

CHARLES R CLIFTON JR, PHD
2121 NW 40TH TERRACE
SUITE B
GAINESVILLE, FL32605
 Phone: 352-336-2888
 Fax: 352-371-1730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES R CLIFTON JR · (Male)

NPI Number 1366587040
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/21/2007
Last updated 12/12/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY2731
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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