Whalio Doctors

NPI 1134364094

Stephen Stuart Lottridge, PSYD

Practitioner Clinical Psychologist Jackson, WY

Practice location

Address
1115 Maple Way Suite D, Jackson, WY 83002-7411
Phone
(307) 734-7177
Mailing address
P.O. Box 7411, Jackson, WY 83002-7411

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 201 (WY)

Registry record

NPI
1134364094
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Dec 2008
Record last updated
8 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.