Individual
STACIE DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18816 E ARROWHEAD TRL, QUEEN CREEK, AZ 85142-6848
(480) 390-1781
Mailing address
18816 E ARROWHEAD TRL, QUEEN CREEK, AZ 85142-6848
(480) 390-1781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718968
—
AZ
01
—
AZ0140920
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/27/2007
Last updated
03/12/2010
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