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Contact Information

S L CLARK MD INC PS
9515 60TH AVE W
MUKILTEO, WA98275
 Phone: 425-355-2800
 Fax: 425-355-2882
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychoanalysis

103TP0814X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for S L CLARK MD INC PS · (Female)

NPI # 1528257433
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2007
Last updated 04/19/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00022790
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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