Individual provider · NPI-1

Stacy Alcantar

Speech-Language Pathologist, · Tempe, AZ

NPI number1811737836
StatusActive
Last updated in NPPESMay 28, 2024

Details

NPI
1811737836
Entity type
Individual (NPI-1)
Name
Stacy Alcantar
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2024
Certification date
May 28, 2024
Last updated
May 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310

Phone 480-374-4341

Mailing address

16001 Darrington Rd
Horizon City, TX 79928-7350

Phone 915-222-9453

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