Dr. Candice Nicole Claiborne, PhD
Psychologist, Clinical in Rome, GA. Individual provider (NPI-1).
NPI number1851605083
StatusActive
Last updated in NPPESFeb 21, 2019
Details
- NPI
- 1851605083
- Entity type
- Individual (NPI-1)
- Name
- Dr. Candice Nicole Claiborne
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2010
- Last updated
- Feb 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY003955 | GA | Yes |
| 103TC1900X | Psychologist, Counseling | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – |
Practice location
701 Broad St Ste 350Rome, GA 30161-3092
Phone 706-295-2028 · Fax 706-295-2062
Mailing address
221 Technology Pkwy NwRome, GA 30165-1369
Phone 706-295-5331
Other practice locations
4000 Smithtown Rd Ste 200
Suwanee, GA 30024-6560
Suwanee, GA 30024-6560
Phone 470-632-4990 · Fax 317-520-8200
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