Individual
JO ANN BROECKEL ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14205 SE 36TH ST, BELLEVUE, WA 98006-1596
(425) 890-9112
Mailing address
6508 150TH PL SE, BELLEVUE, WA 98006-5027
(425) 890-9112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002503
WA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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