Individual
STEPHANIE ELISE ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
124 E SHORT AVE, SPOKANE, WA 99202-1555
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PY60828639
WA
Other
Enumeration date
08/22/2016
Last updated
01/15/2020
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