Provider Demographics
NPI:1811571144
Name:STEELE, STEPHANIE MICHELLE (SLPA)
Entity Type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:MICHELLE
Last Name:STEELE
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 1:1253 N SPIRE CT
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3980
Mailing Address - Country:US
Mailing Address - Phone:480-562-0205
Mailing Address - Fax:
Practice Address - Street 1:1253 N SPIRE CT
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3980
Practice Address - Country:US
Practice Address - Phone:480-562-0205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ117692355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty