Clark, Clairemarie
Clark, Clairemarie is an sole proprietor health care provider with primary practice located at 11335 Ne 122Nd Way Ste 105 , Kirkland WA 98034-6933. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Clairemarie can be contacted via phone (425) 284-5616.Contact Information
Primary practice address
11335 Ne 122Nd Way Ste 105
Kirkland WA 98034-6933
Phone: (425) 284-5616
Fax: (425) 523-9164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 60717708 | Washington |
Profile Details
| NPI number | 1407250079 |
|---|---|
| LBN Legal business name | Clark, Clairemarie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2014 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407250079 | NPPES |
| Washington | MEDICAID | 2077732 |
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