| NPI | 1528257433 |
|---|---|
| Doing Business As | SUSAN L. CLARK, M.D. |
| Entity Type | Organization |
| Authorized Contact | SUSAN L CLARK President 425-355-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: WA MD00022790) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: WA MD00022790) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2011-04-19 |