Provider Demographics
NPI:1689306417
Name:DOCKERY, CLAYTON EVERETT (MA, LPC-A)
Entity Type:Individual
Prefix:
First Name:CLAYTON
Middle Name:EVERETT
Last Name:DOCKERY
Suffix:
Gender:M
Credentials:MA, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N HEATHERWILDE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3676
Mailing Address - Country:US
Mailing Address - Phone:512-202-3686
Mailing Address - Fax:
Practice Address - Street 1:302 N HEATHERWILDE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3676
Practice Address - Country:US
Practice Address - Phone:512-202-3686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional