Stephen Stuart Lottridge PSY.D.

NPI 1134364094 - Psychologist - 103TC0700X

NPI Details
NPI 1134364094
Gender Male
Enumeration Date 12/08/2008
Last Updated 12/08/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
1115 MAPLE WAY
SUITE D
JACKSON WY, 83002-7411, US
Phone (307) 734-7177
Fax
Business Location
P.O. BOX 7411
JACKSON WY, 83002-7411, US
Phone (307) 734-7177
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Wyoming
License Number 201
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According to our database, Dr. Stephen Stuart Lottridge PSY.D. NPI is 1134364094, taxonomy code is 103TC0700X and license number is 201, license state is located at Wyoming. Stephen Stuart Lottridge PSY.D. physically located at 1115 Maple Way, Jackson WY, 83002-7411. NPI Number Stephen Stuart Lottridge PSY.D. has the Individual type.

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1134364094 NPI number is provided on an as is basis without warranty of any kind. 1134364094 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Stuart Lottridge PSY.D. are for informational purposes only.