Karen Edith Clark, Ph.D.
Psychologist, Clinical in Shoreline, WA. Individual provider (NPI-1).
NPI number1114136355
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114136355
- Entity type
- Individual (NPI-1)
- Name
- Karen Edith Clark
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY2095 | WA | Yes |
Practice location
20056 19th Ave NeShoreline, WA 98155-1211
Phone 425-670-6726
Mailing address
20056 19th Ave NeShoreline, WA 98155-1211
Phone 425-670-6726
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