Individual
MRS. STEPHANIE LEIGH STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5775 GIRL RANCH RD, FLAGSTAFF, AZ 86004
(602) 920-1209
(623) 321-1177
Mailing address
20165 N 67TH AVE STE 122A, GLENDALE, AZ 85308-7155
(602) 920-1209
(623) 321-1177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7638
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680678
—
AZ
Enumeration date
02/15/2012
Last updated
05/06/2021
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