Organization
SUNSHINE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNSHINE ELISABETH CLARK PHD (CLINICAL PSYCHOLOGIST)
(360) 749-6721
Entity
Organization
Contact information
Practice address
1655 HUDSON ST, SUITE 5, LONGVIEW, WA 98632-2949
(360) 747-7788
Mailing address
1655 HUDSON ST, SUITE 5, LONGVIEW, WA 98632-2949
(360) 747-7788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY3397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205667
LABOR AND INDUSTRIES
WA
01
—
8940692
L AND I CRIME VICTIMS
WA
Enumeration date
05/26/2015
Last updated
05/26/2015
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