Individual
BETHANY SUTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6700
Mailing address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60879362
WA
Other
Enumeration date
09/10/2013
Last updated
11/17/2020
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