STACY LYNN ELLIS

VANCOUVER, WA
NPI1699062711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: WA  PY60509345)
Enumeration Date2011-07-10
Last Update Date2015-08-17
Business Address
-- STACY LYNN ELLIS PsyD
2621 NE 134TH ST STE 340
VANCOUVER, WA 98686-3036
Phone number: 360-450-0140
Mailing Address
-- STACY LYNN ELLIS PsyD
2204 SE 12TH AVE APT C
PORTLAND, OR 97214-5338
Phone number: 310-991-5923
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