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Contact Information

CLAY S CAMP, LPA
4660 HIGH ROCK ROAD
BOOMER, NC28606
 Phone: 336-977-1794
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CLAY S CAMP · (Male)

NPI # 1164440798
Status Active
Credentials LPA
Entity Individual
Enumeration date 07/18/2006
Last updated 04/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 1614
  • NC Medicaid 6107032
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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