Provider Demographics
NPI:1346641388
Name:KUTSCHER, STEPHANIE (BA, HIS)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:KUTSCHER
Suffix:
Gender:F
Credentials:BA, HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 RAYMOND ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2416
Mailing Address - Country:US
Mailing Address - Phone:360-391-4491
Mailing Address - Fax:360-738-4287
Practice Address - Street 1:1470 ELLIS ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4904
Practice Address - Country:US
Practice Address - Phone:360-738-3958
Practice Address - Fax:360-738-4287
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60281294237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist