Clyde Whitlock

NPI 1699254961 · on the registry since 2018 · sole proprietor

Practice

Address: 4009 Fitzhugh Ave Ste 203
Richmond, VA 23230
Phone: (804) 658-2784
Fax: (804) 658-2793
Organisation at this address: Speak Like Me, Inc
Camwood Corporation Llc
Resources For Independent Living Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 251B00000X
251B00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia