Daniel W Clark PHD

NPI 1619168796 - Psychologist - 103TC0700X

NPI Details
NPI 1619168796
Gender Male
Enumeration Date 08/05/2007
Last Updated 08/05/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1405 HARRISON AVE NW STE 205
OLYMPIA WA, 98502-5327, US
Phone (360) 586-8492
Fax
Business Location
1405 HARRISON AVE NW STE 205
OLYMPIA WA, 98502-5327, US
Phone (360) 586-8492
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Washington
License Number PY1791
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According to our database, Dr. Daniel W Clark PHD NPI is 1619168796, taxonomy code is 103TC0700X and license number is PY1791, license state is located at Washington. Daniel W Clark PHD physically located at 1405 Harrison Ave Nw Ste 205, Olympia WA, 98502-5327. NPI Number Daniel W Clark PHD has the Individual type.

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1619168796 NPI number is provided on an as is basis without warranty of any kind. 1619168796 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel W Clark PHD are for informational purposes only.