Individual
STACY LYNN ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS, SLP-A
Contact information
Practice address
30919 W WHITE TANK VIS, BUCKEYE, AZ 85396-4656
(623) 474-5568
Mailing address
38201 W INDIAN SCHOOL RD, TONOPAH, AZ 85354-8671
(623) 474-5568
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14283
AZ
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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