Individual
MISS JULIE STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
20660 N 40TH ST UNIT 2041, PHOENIX, AZ 85050-7314
(913) 406-2848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4803
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
962911
—
AZ
Enumeration date
03/15/2007
Last updated
07/09/2007
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