Individual provider · NPI-1
Stacie Dunn
Speech-Language Pathologist, · Queen Creek, AZ
NPI number1720115082
StatusActive
Last updated in NPPESMar 12, 2010
Details
- NPI
- 1720115082
- Entity type
- Individual (NPI-1)
- Name
- Stacie Dunn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Mar 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP2072 | AZ | Yes |
Practice location
18816 E Arrowhead TrlQueen Creek, AZ 85142-6848
Phone 480-390-1781
Mailing address
18816 E Arrowhead TrlQueen Creek, AZ 85142-6848
Phone 480-390-1781
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