Clyde Franklin Truan III, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

000921 Issued in GA

Practice address

2465 Demere Rd
Suite 209
St Simons Island, GA 31522-1630

Phone

(912) 399-5414

Fax

(912) 267-7981

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1104093632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 DEMERE RD",
            "address_2": "SUITE 209",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221630",
            "telephone_number": "912-399-5414",
            "fax_number": "912-267-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 DEMERE RD",
            "address_2": "SUITE 209",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221630",
            "telephone_number": "912-399-5414",
            "fax_number": "912-267-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUAN",
        "first_name": "CLYDE",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "000921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Everett Thompson
• Sindhu H Thota, M.D.
• Shelia Thurman
• Janna Torontali
• Kelly High Trowbridge, LCSW
• Mitchell L. Tuttle, PHARMD
• Bradley Cleveland Tyre, PHARM D.
• Barbara Castaldi Uniatowski, LMT
• Rachael Vallone, DPT, PT
• Lauren Veltre, OTR/L

• Clinical Psychologist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.