Individual
STACY SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26201 SIYAYA AVE NE, KINGSTON, WA 98346-9367
(360) 396-3499
Mailing address
18360 CALDART AVE NE, POULSBO, WA 98370-8775
(360) 396-3499
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
530856D
WA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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