Individual
DR. HILLARY WHITAKER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10209 BRIDGEPORT WAY SW, SUITE A-5, LAKEWOOD, WA 98499-2320
(253) 581-1231
(253) 581-1232
Mailing address
PO BOX 99179, LAKEWOOD, WA 98496-0179
(360) 908-8491
(253) 581-1232
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60021419
WA
Other
Enumeration date
07/15/2009
Last updated
02/06/2013
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