Paul Robert Clavelle, PH.D.
Individual provider Active NPI Clinical Psychologist · Hanover, MD
NPI 1780722207 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780722207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 950 (MD)
- Practice address
- 7272 Park Circle Dr
Suite 170
Hanover, MD 21076-1303 - Phone
- (410) 712-4444
- Fax
- (410) 712-4216
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 950 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 950 | MD | Yes |
Addresses
Primary practice location
7272 Park Circle Dr
Suite 170
Hanover, MD 21076-1303
Mailing address
6182 Campfire
Columbia, MD 21045-4050
Phone (410) 992-5289
Other providers in Hanover, MD
- Chesapeake Urology Associates, LLC
- Gareth Leku Chia
- Brandon Chie
- Peter Dongil Chung
- Rebecca Rodriguez Cirri
- Clinical Counseling Services, LLC
- Carla Cobbs
- Kathleen A Coggins
- Kelsey Cohen
- Francis Henry Cole
All providers in Hanover, MD · Clinical Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.