Search › Washington › 101YM0800X
Elise Wickers
NPI 1366356925 · on the registry since 2026
Practice
- Address
- 301 2nd Ave Ne # 200
Puyallup, WA 98372 - Phone
- (425) 220-7434
- Organisation at this address
- Divergent Minds Collective
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington