| Doctor Name: | MS. LISA LEA STEPHENS |
| NPI Number: | 1609936814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC-SLP |
| License Number: | LL00003281 |
| Business Practice Address: | 214 E Pine Street Oakville, WA - 98568 |
| Business Phone Number: | 3602730220 |
| Business Fax Number: | 3602735510 |
| Mailing Address: | Po Box 225, 214 E Pine OAKVILLE |
| State: | WA |
| Postal Code: | 985680225 |
| Phone Number: | 3602730220 |
| Fax Number: | 3602735510 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00003281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |