Individual
STEPHANIE ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2934 W MALDONADO RD, PHOENIX, AZ 85041-6368
(602) 741-4912
Mailing address
2934 W MALDONADO RD, PHOENIX, AZ 85041-6368
(602) 741-4912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4319
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314219
AHCCCS
AZ
05
—
314219
—
AZ
Enumeration date
06/18/2015
Last updated
07/20/2015
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