Individual
ELLEN LOUISE BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10047 MAIN ST APT 310, BELLEVUE, WA 98004-5317
(425) 269-1218
Mailing address
10047 MAIN ST APT 310, BELLEVUE, WA 98004-5317
(425) 269-1218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY1418
DC
103T00000X
Psychologist
PSY1519
CO
103T00000X
Psychologist
PSY202216
ID
103T00000X
Psychologist
Primary
PSY2413
WA
103T00000X
Psychologist
PSY6649
CA
103T00000X
Psychologist
—
MD
103TC0700X
Clinical Psychologist
2413
WA
103TC0700X
Clinical Psychologist
PSY810001654
VA
106H00000X
Marriage & Family Therapist
MFC6202
CA
Other
Enumeration date
12/19/2006
Last updated
11/05/2022
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