Individual
MRS. STACEY MARIE LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS SPEECH PATHOLOGY
Contact information
Practice address
10810 N TATUM BLVD, BLDG 102-185, PHOENIX, AZ 85028-6055
(480) 326-2619
Mailing address
7301 N 17TH AVE, PHOENIX, AZ 85021-7929
(602) 995-4873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#SLPL5143
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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