| NPI | 1396901419 |
|---|---|
| Professional Name | TISH CARISSA CLAYTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001417) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01092) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2020-10-08 |