Individual
MRS. STEPHANIE LAVON RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4650 W BUCKSKIN TRL, PHOENIX, AZ 85083-2316
(602) 793-2958
(602) 793-2958
Mailing address
4650 W BUCKSKIN TRL, PHOENIX, AZ 85083-2316
(602) 793-2958
(602) 793-2958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4043
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP4043
STATE LICENSE
AZ
Enumeration date
08/09/2005
Last updated
09/04/2024
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