Individual provider · Type 1 NPI
Stacy Lynn Ellis, PSYD
Psychologist · Vancouver, WA
Practice location
2621 NE 134th St Ste 340
Vancouver, WA 98686-3036
Mailing address
2204 SE 12th Ave Apt C
Portland, OR 97214-5338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PY60509345 (WA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1699062711
Stacy Lynn Ellis, PSYD's National Provider Identifier is 1699062711, issued on Jul 10, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 17, 2015.