Healthcare Provider Details

I. General information

NPI: 1609730332
Provider Name (Legal Business Name): HSIN-JU LU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 W CHOLLA ST
GLENDALE AZ
85304-3322
US

IV. Provider business mailing address

711 N EVERGREEN RD APT 3051
MESA AZ
85201-7560
US

V. Phone/Fax

Practice location:
  • Phone: 928-233-6263
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: