Individual
MS. PAMELA ANN STULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0727
Mailing address
15653 N 51ST ST, SCOTTSDALE, AZ 85254
(602) 840-2166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#SLP0720
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429888
—
AZ
Enumeration date
12/18/2006
Last updated
07/08/2007
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