| NPI | 1134517261 |
|---|---|
| Doing Business As | CLAIRE MARIE CLARK |
| Entity Type | Organization |
| Authorized Contact | CLAIREMARIE CLARK Owner/Clinician 650-450-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60717708) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60717708) |
| 261Q00000X Clinic/Center (Licence: AZ 4579) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 4579) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ 4579) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-02-02 |