Provider Demographics
NPI:1679441448
Name:MCLEMORE, CLINTON WHITFIELD (PHD)
Entity type:Individual
Prefix:
First Name:CLINTON
Middle Name:WHITFIELD
Last Name:MCLEMORE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHITECLIFF
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-9237
Mailing Address - Country:US
Mailing Address - Phone:949-874-1202
Mailing Address - Fax:
Practice Address - Street 1:2 WHITECLIFF
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-9237
Practice Address - Country:US
Practice Address - Phone:949-874-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA003773103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist