Individual
DR. STEPHEN STUART LOTTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1115 MAPLE WAY, SUITE D, JACKSON, WY 83002-7411
(307) 734-7177
Mailing address
P.O. BOX 7411, JACKSON, WY 83002-7411
(307) 734-7177
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
201
WY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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