Organization
PANOPTIC SPEECH THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA LEA STEPHENS CCC-SLP (OWNER/MEMBER)
(360) 273-0220
Entity
Organization
Contact information
Practice address
214 E. PINE STREET, OAKVILLE, WA 98568
(360) 273-0220
(360) 273-5510
Mailing address
PO BOX 225, 214 E. PINE STREET, OAKVILLE, WA 98568-0225
(360) 273-0220
(360) 273-5510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003281
WA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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