Individual
JASMINE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
Mailing address
5447 E JANICE WAY, SCOTTSDALE, AZ 85254-8211
(520) 241-6584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4238
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814063
—
AZ
Enumeration date
09/05/2007
Last updated
06/29/2021
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