Clay, Diedra L

Clay, Diedra L is an individual health care provider with primary practice located at 2800 E Madison St Ste 320 , Seattle WA 98112-4871. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clay, Diedra L can be contacted via phone (206) 853-8257.

Contact Information

Primary practice address
2800 E Madison St Ste 320 Seattle WA 98112-4871
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X CP00000182 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002708 Washington

Profile Details

NPI number 1205088689
LBN Legal business name Clay, Diedra L
Credentials PSY.D., CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Mar 17th, 2018 - about 6 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.

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