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Audra Stave
Clinical Psychologist in Vancouver, Washington
NPI 1205236650

Audra Stave is a Clinical Psychologist based in Vancouver, WA and is specialized in Clinical. Audra Stave practices in Vancouver, WA. The NPI Number for Audra Stave is 1205236650 and holds a License No. (Washington).

The current practice location address for Audra Stave is 13501 Ne 28Th St, Vancouver, WA and can be reached out via phone at 360-604-6700.

Location: 13501 Ne 28Th St, Vancouver, WA, 98668-8910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205236650
Provider Name
Audra Stave
Credential
Provider Entity Type
Individual
Gender
Female
Address
13501 Ne 28Th St, Vancouver, WA, 98668-8910
Phone Number
360-604-6700
Fax Number
Provider Enumeration Date
09/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13501 Ne 28Th St
City
Vancouver
State
Washington
Zip
98682
Phone Number
360-604-6700
Fax Number
person
Provider Business Mailing Address Details
Address
13501 Ne 28Th St
City
Vancouver
State
Washington
Zip
98682
Phone Number
360-604-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PY60794634 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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