Individual
DR. SHELLAH MYRA IMPERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
2828 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-3284
Mailing address
2828 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-3284
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60084605
WA
Other
Enumeration date
02/05/2007
Last updated
04/20/2010
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