Maguire, Clayton C.

Maguire, Clayton C. is an individual health care provider with primary practice located at 420 N Center Dr Suite 141, Norfolk VA 23502-4007. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Maguire, Clayton C. can be contacted via phone (757) 466-0700.

Contact Information

Primary practice address
420 N Center Dr Suite 141 Norfolk VA 23502-4007
Fax: (757) 461-4826
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701000917 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000048 Virginia

Profile Details

NPI number 1174519938
LBN Legal business name Maguire, Clayton C.
Credentials L.P.C. L.M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174519938 NPPES
Virginia MEDICAID 5409501

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