Dr. Diedra L Clay
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
2800 E Madison St Ste 320
Seattle
, Washington 98112-4871
Dr. Diedra L Clay
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
2800 E Madison St Ste 320
Seattle
, Washington 98112-4871
(206) 853-8257
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Diedra L Clay
- 2800 E Madison St Ste 320
- Seattle, WA
- Zip : 98112-4871
- Phone : (206) 853-8257
Second Address
- Dr. Diedra L Clay
- 2800 E Madison St Ste 320
- Seattle, WA
- Zip : 98112-4871
- Phone : (206) 853-8257
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Is Dr. Diedra L Clay a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | CP00000182 | WA |
| Y | 103G00000X | Clinical Psychologist | PY00002708 | WA |
| Y | 103TC0700X | Clinical Psychologist | PY00002708 | WA |
National Provider Identifier
| NPI | 1205088689 |
|---|---|
| Provider Name | Dr. Diedra L Clay |
| First Address | Seattle, WA 98112-4871 |
| Second Address | Seattle, WA 98112-4871 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2008 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.