Provider Demographics
NPI:1972374098
Name:WHITFIELD, CLAYTON THOMAS (AUD)
Entity Type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:THOMAS
Last Name:WHITFIELD
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:DR
Other - First Name:CLAYTON
Other - Middle Name:
Other - Last Name:WHITFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:6025 WALNUT GROVE RD STE C-1011
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2131
Mailing Address - Country:US
Mailing Address - Phone:901-226-5524
Mailing Address - Fax:
Practice Address - Street 1:6025 WALNUT GROVE RD STE C-1011
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2131
Practice Address - Country:US
Practice Address - Phone:901-226-5524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002072231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist