Provider Demographics
NPI:1154518132
Name:MCCLAY, JANE (PSY D)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:MCCLAY
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1110
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:CA
Mailing Address - Zip Code:95658-1110
Mailing Address - Country:US
Mailing Address - Phone:530-305-1327
Mailing Address - Fax:888-508-1548
Practice Address - Street 1:590 SEARLS AVE STE 12
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3043
Practice Address - Country:US
Practice Address - Phone:530-401-7705
Practice Address - Fax:888-508-1548
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22483103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA010626OtherPROVIDER ID