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Mark W Clark, PSYD
Forensic Psychologist in Vancouver, Washington
NPI 1114081577

Mark W Clark is a Forensic Psychologist based in Portland, WA and is specialized in Forensic. Mark W Clark practices in Vancouver, WA and has the professional credentials of PSYD. The NPI Number for Mark W Clark is 1114081577 and holds a License No. PY2226 (Washington).

The current practice location address for Mark W Clark is 7507 Ne 51St St, Vancouver, WA and can be reached out via phone at 360-906-1190 and via fax at 360-906-1193. You can also correspond with Mark W Clark through the mailing address at PO BOX 82819, PORTLAND, OR - 97282-0819 (mailing address contact number: 503-233-5405).

Location: 7507 Ne 51St St, Vancouver, WA, 97282-0819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114081577
Provider Name
Mark W Clark
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
7507 Ne 51St St, Vancouver, WA, 97282-0819
Phone Number
360-906-1190
Fax Number
360-906-1193
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
7507 Ne 51St St
City
Vancouver
State
Washington
Zip
98662-6007
Phone Number
360-906-1190
Fax Number
360-906-1193
person
Provider Business Mailing Address Details
Address
Po Box 82819
City
Portland
State
Oregon
Zip
97282-0819
Phone Number
503-233-5405
Fax Number
503-233-2696
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PY2226 (Washington)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
PY2226 (Washington)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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