Healthcare Provider Details

I. General information

NPI: 1902256845
Provider Name (Legal Business Name): ALISSA DAPPAS STOLZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8933 E PERSHING AVE
SCOTTSDALE AZ
85260-7612
US

IV. Provider business mailing address

8933 E PERSHING AVE
SCOTTSDALE AZ
85260-7612
US

V. Phone/Fax

Practice location:
  • Phone: 602-492-7202
  • Fax:
Mailing address:
  • Phone: 630-485-0159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP28210
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP10051
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: