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Organization

SEAGATE PSYCHOLOGICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIEDRA LEE CLAY PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(206) 853-8257
Entity
Organization

Contact information

Practice address
2800 E MADISON ST, SUITE 302, SEATTLE, WA 98112-4871
(206) 853-8257
Mailing address
2800 E MADISON ST, SUITE 302, SEATTLE, WA 98112-4871
(206) 853-8257

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
CP00000182
WA
103TC0700X
Clinical Psychologist
Primary
PY00002708
WA

Other

Enumeration date
06/27/2014
Last updated
06/27/2014
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