Doctor Name: | MS. CHARLOTTE ANNE STADEL |
NPI Number: | 1205966603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | |
Business Practice Address: | 15042 W Sweetwater Ave Surprise, AZ - 853798164 |
Business Phone Number: | 6235238225 |
Business Fax Number: | 6235238211 |
Mailing Address: | 5110 N 86th Pl, SCOTTSDALE |
State: | AZ |
Postal Code: | 852507406 |
Phone Number: | 4809499491 |
Fax Number: | 4809473001 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |