Individual
DR. CLAIREMARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11335 NE 122ND WAY STE 105, KIRKLAND, WA 98034-6933
(425) 284-5616
(425) 523-9164
Mailing address
11335 NE 122ND WAY STE 105, KIRKLAND, WA 98034-6933
(425) 284-5616
(425) 523-9164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
60717708
WA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077732
—
WA
Enumeration date
10/10/2014
Last updated
07/21/2022
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