Search › Washington › 1041C0700X
Paul Stayback, LICSWA
NPI 1336749589 · on the registry since 2020 · sole proprietor
Practice
- Address
- 16668 132nd St Se
Snohomish, WA 98290 - Phone
- (201) 696-1165
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
101YM0800X
101Y00000X
171M00000X - Sex
- Male
- Record last updated
- 2026-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington