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General NPI Number Information
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NPI Number | 1134517261
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Entity Type | Organization
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Legal Business Name | FLOW PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 11335 NE 122ND WAY STE 105
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City | KIRKLAND
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State | WA
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Zip | 98034-6933
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Country | US
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Telephone | 425-284-5616
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Fax | 425-523-9164
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Provider Business Mailing Address
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Address Line | 11335 NE 122ND WAY STE 105
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City | KIRKLAND
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State | WA
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Zip | 98034-6933
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Country | US
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Telephone | 425-284-5616
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Fax | 425-523-9164
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | DR. CLAIREMARIE CLARK
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Credential | PHD.
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Telephone | 650-450-3161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY60717708
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4579
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 4579
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 4579
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60717708
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License Number State | WA
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