# CLINCAL & FORENSIC PSYCHOLOGY, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679696777
- **Authorized official:** DR. MARK BENNETT WHITEHILL PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (253) 984-7686

## Contact information

- **Practice address:** 3815 100TH ST SW, STE 2B, LAKEWOOD, WA 98499-4401
- **Practice address phone:** (253) 984-7686
- **Practice address fax:** (253) 984-7862
- **Mailing address:** 3815 100TH ST SW, STE 2B, LAKEWOOD, WA 98499-4401
- **Mailing address phone:** (253) 984-7686
- **Mailing address fax:** (253) 984-7862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00001200 | WA | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/22/2020