Individual
STEPHANIE ALEXANDRA LIDSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD STE 170, VANCOUVER, WA 98683-4301
(360) 989-7347
Mailing address
1204 NW 107TH CIR, VANCOUVER, WA 98685-8020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61460689
WA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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