Provider Demographics
NPI:1245341072
Name:CLARK, SUNSHINE ELISABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:SUNSHINE
Middle Name:ELISABETH
Last Name:CLARK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SUNSHINE
Other - Middle Name:ELISABETH
Other - Last Name:CLARK-SCHOEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 40444
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-0907
Mailing Address - Country:US
Mailing Address - Phone:360-747-7788
Mailing Address - Fax:855-317-6308
Practice Address - Street 1:1602 E SPRAGUE AVE # 40444
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-3115
Practice Address - Country:US
Practice Address - Phone:360-747-7888
Practice Address - Fax:855-317-6308
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY3397103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0205667OtherLABOR AND INDUSTRIES
WA8940692OtherL AND I CRIME VICTIMS