Provider Demographics
NPI:1306143227
Name:CLAYTON, DARLA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:DARLA
Middle Name:M
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:DARLA
Other - Middle Name:M
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 COMMERCE DR
Mailing Address - Street 2:SUITE 907
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4746
Mailing Address - Country:US
Mailing Address - Phone:724-681-1534
Mailing Address - Fax:412-262-1555
Practice Address - Street 1:900 COMMERCE DR
Practice Address - Street 2:SUITE 907
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-4746
Practice Address - Country:US
Practice Address - Phone:724-681-1534
Practice Address - Fax:412-262-1555
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016940103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist