# FORENSIC AND CLINICAL PSYCHOLOGY SERVICES

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

## Provider details

- **NPI number:** 1770920852
- **Authorized official:** DR. CLARENCE RICHARD CODER PHD (PROPRIETOR)
- **Authorized official phone:** (425) 455-2967

## Contact information

- **Practice address:** 2820 NORTHUP WAY, SUITE 250, BELLEVUE, WA 98004-1419
- **Practice address phone:** (425) 455-2967
- **Mailing address:** 2820 NORTHUP WAY, SUITE 250, BELLEVUE, WA 98004-1419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 754 | WA | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 05/29/2013