Individual
MS. ELLEN SOUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PH.D.
Contact information
Practice address
17825 59TH AVE NE STE B, ARLINGTON, WA 98223-6453
(360) 363-4234
(360) 363-4235
Mailing address
1270 NATIVIDAD ROAD, SALINAS, CA 93901
(831) 796-1500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60945604
WA
Other
Enumeration date
08/03/2015
Last updated
02/22/2022
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