Provider Demographics
NPI:1992177430
Name:CLARFIELD, CYNTHIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:CLARFIELD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CYN
Other - Middle Name:
Other - Last Name:CLARFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD, MA, LMHCA
Mailing Address - Street 1:3728 SW THISTLE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3634
Mailing Address - Country:US
Mailing Address - Phone:818-355-9719
Mailing Address - Fax:
Practice Address - Street 1:5414 DELRIDGE WAY SW UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-1478
Practice Address - Country:US
Practice Address - Phone:425-654-1226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60482140101YM0800X, 390200000X
WA60887756101YM0800X, 103T00000X, 103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60887756OtherDEPARTMENT OF HEALTH PSYCHOLOGIST LICENSE