Healthcare Provider Details

I. General information

NPI: 1396652061
Provider Name (Legal Business Name): SYDNEY STEG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6051 W SWEETWATER AVE
GLENDALE AZ
85304-1100
US

IV. Provider business mailing address

5943 W GROVERS AVE
GLENDALE AZ
85308-1101
US

V. Phone/Fax

Practice location:
  • Phone: 623-486-6400
  • Fax:
Mailing address:
  • Phone: 602-319-0618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP17833
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: