Individual
JULIEANN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16653 N 19TH ST, PHOENIX, AZ 85022-6264
(602) 391-6901
Mailing address
16653 N 19TH ST, PHOENIX, AZ 85022-6264
(602) 391-6901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4438
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750712
—
AZ
Enumeration date
10/23/2006
Last updated
07/09/2007
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