Organization
SEAGATE PSYCHOLOGICAL SERVICES, PLLC
Active
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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