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General NPI Number Information
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NPI Number | 1295947687
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PSYCHOLOGIST, PS
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Dates
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Enumeration Date | 05/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1525 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-3414
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Country | US
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Telephone | 509-455-8886
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Fax | 509-455-8887
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Provider Business Mailing Address
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Address Line | 1525 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-3414
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Country | US
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Telephone | 509-455-8886
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Fax | 509-455-8887
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN ESTELLE
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Credential |
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Telephone | 509-455-8886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY2057
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY1950
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP30005127
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License Number State | WA
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