Dr. Cassandra Clark, Ph.D.
Psychologist, Clinical in Seattle, WA. Individual provider (NPI-1).
NPI number1124124367
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124124367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cassandra Clark
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2049 | WA | Yes |
Practice location
701 N 36th StSuite 440
Seattle, WA 98103-8868
Phone 206-632-9316 · Fax 206-675-9317
Mailing address
701 N 36th StSuite 440
Seattle, WA 98103-8868
Phone 206-632-9316 · Fax 206-675-9317
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