S L Clark Md Inc Ps in Mukilteo - Prescribing (medical)
S L Clark Md Inc Ps - NPI 1528257433
S L Clark Md Inc Ps is a Prescribing (medical) in Mukilteo, Washington. S L Clark Md Inc Ps practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for S L Clark Md Inc Ps is 1528257433. The last update date is 2011-04-19.
S L Clark Md Inc Ps's current location address is 9515 60th Ave W, Mukilteo, Washington. You can contact this provider via phone number 4253552800 and fax number 4253552882. The mailing address for S L Clark Md Inc Ps is 9515 60th Ave W, Mukilteo, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | S L Clark Md Inc Ps |
|---|---|
| Address | 9515 60th Ave W, Mukilteo, Washington |
| Phone Number | 4253552800 |
| Fax Number | 4253552882 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark L Susan |
| Credentials | MD |
| Telephone Number | 4253552800 |
NPI Number Detail
| NPI Number | 1528257433 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2011-04-19 |
Provider Mailing Address Detail
| Address | 9515 60th Ave W |
|---|---|
| City | Mukilteo |
| State | Washington (WA) |
| Post Code | 98275 |
| Phone Number | 4253552800 |
| Fax Number | 4253552882 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | MD00022790 |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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What is the unique 10-digit identification code assigned to S L Clark Md Inc Ps by the Centers for Medicare & Medicaid Services?
The S L Clark Md Inc Ps has been issued the NPI (National Provider Identifier) 1528257433, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where S L Clark Md Inc Ps is physically located?
The S L Clark Md Inc Ps is situated at the following address: 9515 60Th Ave W, Mukilteo, WA 98275.
What is S L Clark Md Inc Ps's area of expertise and its corresponding taxonomy classification?
The S L Clark Md Inc Ps's field of specialization is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their areas of practice.
On what date did S L Clark Md Inc Ps receive its 1528257433 assignment from the Centers for Medicare & Medicaid Services?
The S L Clark Md Inc Ps was assigned its 1528257433 on 2007-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the S L Clark Md Inc Ps's details last updated?
The information pertaining to the S L Clark Md Inc Ps, including its address, specialty, and other details, was most recently updated on 2011-04-19.
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