Healthcare Provider Details

I. General information

NPI: 1467312348
Provider Name (Legal Business Name): STEPHANIE ELZA YEE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 CATHEDRAL AVE NW APT 505
WASHINGTON DC
20008-1555
US

IV. Provider business mailing address

2331 CATHEDRAL AVE NW APT 505
WASHINGTON DC
20008-1555
US

V. Phone/Fax

Practice location:
  • Phone: 603-545-7593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number07327
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: