Provider Demographics
NPI:1194536508
Name:ZAMBRANO, ELLE RACHEL (PSYD)
Entity type:Individual
Prefix:
First Name:ELLE
Middle Name:RACHEL
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ELLE
Other - Middle Name:RACHEL
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:18250 142ND AVE NE APT 314
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4363
Mailing Address - Country:US
Mailing Address - Phone:915-342-2469
Mailing Address - Fax:
Practice Address - Street 1:10512 NE 68TH ST STE 101
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7062
Practice Address - Country:US
Practice Address - Phone:915-342-2469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY61555369103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist