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CATHERINE JOY CLODFELTER PH.D.

Clinical Neuropsychologist

Winston Salem, North Carolina

Provider NPI: 1255433892

Provider Information:
 CATHERINE JOY CLODFELTER PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
3000 BETHESDA PL SUITE 102 WINSTON SALEM, NC 27103 US
Tel: 336-794-0220  Fax: 336-794-1006

Business Mailing Address:
PO BOX 24937  WINSTON SALEM, NC 27114 US
Tel: 336-794-0220  Fax: 336-794-1006

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC1575
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
NC1575

Other Provider Identifiers:

IssuerNumberStateType
6000336NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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