Doctor Name: | STACEY RENEE ROMES |
NPI Number: | 1003137969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLPA6381 |
Business Practice Address: | 32531 N Scottsdale Rd Ste. 105-162 Scottsdale, AZ - 852661519 |
Business Phone Number: | 4804883946 |
Business Fax Number: | 4804883956 |
Mailing Address: | 3323 W Florimond Rd, PHOENIX |
State: | AZ |
Postal Code: | 850862182 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/15/2010 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SLPA6381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |