Individual
STACEY ANN BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1975 E CORNELL DR, TEMPE, AZ 85283-2361
(480) 897-6228
Mailing address
2354 W UNIVERSITY DR APT 2119, MESA, AZ 85201-5269
(602) 326-5593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4461
AZ
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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