| Clincal & Forensic Psychology, Inc., P.s. | |
|
3815 100th St Sw Ste 2b Lakewood WA 98499-4401 | |
| (253) 984-7686 | |
| (253) 984-7862 |
| Full Name | Clincal & Forensic Psychology, Inc., P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 3815 100th St Sw, Lakewood, Washington |
| Authorized Official Name and Position | Mark Bennett Whitehill (PSYCHOLOGIST) |
| Authorized Official Contact | 2539847686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clincal & Forensic Psychology, Inc., P.s. 3815 100th St Sw Ste 2b Lakewood WA 98499-4401 Ph: (253) 984-7686 | Clincal & Forensic Psychology, Inc., P.s. 3815 100th St Sw Ste 2b Lakewood WA 98499-4401 Ph: (253) 984-7686 |
| NPI Number | 1679696777 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679696777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY00001200 (Washington) | Primary |
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