Individual
DR. AMY SUZANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4310 COLBY AVE STE 201, EVERETT, WA 98203-2338
(425) 252-9216
Mailing address
PO BOX 12808, EVERETT, WA 98206-2808
(425) 252-9216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002506
WA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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