Most Relevant Information
Provider Data
| NPI Number: | 1003450024 |
| Provider Name: | CLAYTON VANCE MARTIN PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC009574 |
Most Important Dates
| Enumeration Date: | 11/01/2019 |
| Last Updated: | 04/04/2023 |
Provider Practice Location
6711 FOREST PARK DR
SAVANNAH
GA
314062507
Practice Location Phone/Fax
| Phone: | 4044493028 |
| Fax: |
Provider Mailing Location
5636 BETTY DR
SAVANNAH
GA
314062314
Provider Mailing Phone/Fax
| Phone: | 4044493028 |
| Fax: |