Individual
DR. HEATHER ELAINE SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60339398
WA
103TF0200X
Forensic Psychologist
PSY23824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295030328
—
WA
Enumeration date
01/20/2011
Last updated
04/13/2018
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