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Individual

MS. TATYANA R SHEPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1700 NW GILMAN BLVD, 205, ISSAQUAH, WA 98027-5349
(425) 427-2474
(425) 427-2477
Mailing address
1700 NW GILMAN BLVD, SUITE 205, ISSAQUAH, WA 98027-5349
(206) 605-9207
(425) 427-2477

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60061712
WA

Other

Enumeration date
11/17/2008
Last updated
12/03/2010
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