Individual
DR. KERI RAND CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 967-8283
Mailing address
MADIGAN ARMY MEDICAL CENTER MCHJ CP, 9040 A FITZIMMONS DRIVE, TACOMA, WA 98431-0001
(253) 968-5140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00002548
WA
Other
Enumeration date
12/15/2009
Last updated
07/27/2020
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