S L CLARK MD INC PS NPI 1528257433

NPI Information

  • NPI: 1528257433
  • Provider Name: S L CLARK MD INC PS
  • Classification: Psychologist - 103TP0814X
  • Specialization: Psychoanalysis
  • Entity Type: Organization
  • Doing Business As: SUSAN L. CLARK, M.D.
  • Address: 9515 60TH AVE W
    MUKILTEO, WA
    ZIP 98275
  • Phone: (425) 355-2800

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NPI Details

S L CLARK MD INC PS is a psychoanalysis psychologist in Mukilteo, WA. The provider is a psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression. S L CLARK MD INC PS NPI is 1528257433. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Susan L. Clark, M.d..

The provider's business location address is:

9515 60TH AVE W
MUKILTEO, WA
ZIP 98275
Phone: (425) 355-2800
Fax: (425) 355-2882

The provider's authorized official is Susan L Clark .
The authorized official title is President and has the following contact phone number (425) 355-2800.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 4/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)MD00022790WASHINGTONNo
2103TP0814XPsychologistPsychoanalysisMD00022790WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AB17499MEDICARE UPINWASHINGTON
2GAB17499MEDICARE UPINWASHINGTON

What is NPI?

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This page was last updated on: 11/21/2025

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