Individual
LESLEY ELAINE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
516 HIGH ST, DEPT OF COMMUNICATION DISORDERS AND SCIENCES, BELLINGHAM, WA 98225-5946
(360) 650-3185
Mailing address
1810 MADISON ST, BELLINGHAM, WA 98225-2226
(360) 650-3185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003175
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0916000562-22
GROUP DVR
WA
05
—
7140007
—
WA
Enumeration date
04/03/2007
Last updated
07/09/2007
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