Individual
SUZANNE H SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15446 BEL RED RD, STE 430, REDMOND, WA 98052
(425) 881-6611
(425) 657-0748
Mailing address
15446 BEL RED RD, STE 430, REDMOND, WA 98052
(425) 881-6611
(425) 657-0748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00197948
—
WA
01
—
SH0285
REGENCE RIDER
WA
Enumeration date
09/20/2006
Last updated
07/08/2007
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