Provider Demographics
NPI:1659790988
Name:STEHLE, MYRA FALCONER (SLPA)
Entity Type:Individual
Prefix:
First Name:MYRA
Middle Name:FALCONER
Last Name:STEHLE
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 W GROVE PKWY
Mailing Address - Street 2:#1001
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-4435
Mailing Address - Country:US
Mailing Address - Phone:480-694-5571
Mailing Address - Fax:
Practice Address - Street 1:1250 W GROVE PKWY
Practice Address - Street 2:#1001
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-4435
Practice Address - Country:US
Practice Address - Phone:480-694-5571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA83082355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant