Provider Demographics
NPI:1780876680
Name:BARGMEYER-HUTCHISON, STACEY B (AUD)
Entity type:Individual
Prefix:DR
First Name:STACEY
Middle Name:B
Last Name:BARGMEYER-HUTCHISON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:STACEY
Other - Middle Name:B
Other - Last Name:HUTCHISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:49 FRONT ST N
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3237
Mailing Address - Country:US
Mailing Address - Phone:425-391-3343
Mailing Address - Fax:425-391-5692
Practice Address - Street 1:49 FRONT ST N
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3237
Practice Address - Country:US
Practice Address - Phone:425-391-3343
Practice Address - Fax:425-391-5692
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00003855231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist