| Susan L. Clark, M.d. | |
|
9515 60th Ave W Mukilteo WA 98275 | |
| (425) 355-2800 | |
| (425) 355-2882 |
| Full Name | Susan L. Clark, M.d. |
|---|---|
| Speciality | Psychologist - Psychoanalysis |
| Location | 9515 60th Ave W, Mukilteo, Washington |
| Authorized Official Name and Position | Susan L Clark (PRESIDENT) |
| Authorized Official Contact | 4253552800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L. Clark, M.d. 9515 60th Ave W Mukilteo WA 98275 Ph: (425) 355-2800 | Susan L. Clark, M.d. 9515 60th Ave W Mukilteo WA 98275 Ph: (425) 355-2800 |
| NPI Number | 1528257433 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 04/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528257433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | MD00022790 (Washington) | Secondary |
| 103TP0814X | Psychologist - Psychoanalysis | MD00022790 (Washington) | Primary |
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