Jessica Stark, PSYD

NPI #1366913048 in Issaquah, Washington

Provider Information

NPI Number: 1366913048
Entity Type: Individual
Name: Jessica Stark, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Dec 6, 2018
Last Updated: Dec 6, 2018

Practice Location

Address: 450 NW GILMAN BLVD STE 201
City: Issaquah
State: Washington
ZIP Code: 98027-2722
Phone: (425) 835-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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