Forensic And Clinical Psychology Services

NPI 1770920852 - Psychologist - 103T00000X

NPI Details
NPI 1770920852
Enumeration Date 05/29/2013
Last Updated 05/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CLARENCE RICHARD CLARENCE
Position PROPRIETOR
Phone (425) 455-2967
Fax
Practice Location
2820 NORTHUP WAY
SUITE 250
BELLEVUE WA, 98004-1419, US
Phone (425) 455-2967
Fax
Business Location
2820 NORTHUP WAY
SUITE 250
BELLEVUE WA, 98004-1419, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Washington
License Number 754
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According to our database, Forensic And Clinical Psychology Services NPI is 1770920852, taxonomy code is 103T00000X and license number is 754, license state is located at Washington. Forensic And Clinical Psychology Services physically located at 2820 Northup Way, Bellevue WA, 98004-1419. NPI Number 1033115704 has the healthcare provider type.

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1770920852 NPI number is provided on an as is basis without warranty of any kind. 1770920852 is maintained by the National Plan & Provider Enumeration System. The contents of Forensic And Clinical Psychology Services are for informational purposes only.