Individual
STEPHANIE DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 W ALICE AVE, PHOENIX, AZ 85021-4211
(602) 347-3028
Mailing address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
617454
—
AZ
Enumeration date
09/06/2018
Last updated
09/29/2025
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