Healthcare Provider Details
I. General information
NPI: 1003748120
Provider Name (Legal Business Name): CHERISH TO GROW PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34225 N 27TH DR STE 110
PHOENIX AZ
85085-6088
US
IV. Provider business mailing address
34225 N 27TH DR STE 110
PHOENIX AZ
85085-6088
US
V. Phone/Fax
- Phone: 480-462-7458
- Fax:
- Phone: 480-462-7458
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
HANNA
MARIE
STINEMAN
Title or Position: OWNER
Credential: M.A., CCC-SLP
Phone: 480-324-6694