DR. Clifton Payne JR., ED.D.

NPI #1205111051 in Bonita Springs, Florida

Provider Information

NPI Number: 1205111051
Entity Type: Individual
Name: DR. Clifton Payne JR., ED.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: ED.D.
Enumeration Date: Oct 12, 2011
Last Updated: Oct 12, 2011

Practice Location

Address: 9220 BONITA BEACH RD SE
City: Bonita Springs
State: Florida
ZIP Code: 34135-4239
Phone: (239) 280-7708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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