Provider Demographics
NPI:1316997216
Name:CLAYMAN & ASSOCIATES PLLC
Entity type:Organization
Organization Name:CLAYMAN & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLAYMON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:304-345-0880
Mailing Address - Street 1:1097 FLEDDERJOHN ROAD STE 3
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314
Mailing Address - Country:US
Mailing Address - Phone:304-345-0880
Mailing Address - Fax:304-345-1112
Practice Address - Street 1:1097 FLEDDERJOHN ROAD STE 3
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314
Practice Address - Country:US
Practice Address - Phone:304-345-0880
Practice Address - Fax:304-345-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0210222000Medicaid
CL9343031Medicare ID - Type Unspecified