Search › Washington › 101Y00000X
Stephanie Tidholm, SUDPT
NPI 1710630082 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2133 3rd Ave
Seattle, WA 98121 - Phone
- (206) 223-1482
- Organisation at this address
- Reach
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 173
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-02
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