Individual
DR. ELIZABETH NYBLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1116 KEY ST, SUITE 213, BELLINGHAM, WA 98225-5232
(360) 647-8295
(360) 647-8296
Mailing address
1116 KEY ST, SUITE 213, BELLINGHAM, WA 98225-5232
(360) 647-8295
(360) 647-8296
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY0000035
WA
103T00000X
Psychologist
PY0000035
WA
103T00000X
Psychologist
Primary
PY00000535
WA
103TC0700X
Clinical Psychologist
PY00000535
WA
103TF0000X
Family Psychologist
PY00000535
WA
103TF0200X
Forensic Psychologist
PY00000535
WA
103TH0100X
Health Service Psychologist
PY00000535
WA
103TS0200X
School Psychologist
PY00000535
WA
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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