Healthcare Provider Details

I. General information

NPI: 1104123116
Provider Name (Legal Business Name): ACCEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2011
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 E BASELINE RD
TEMPE AZ
85283-1406
US

IV. Provider business mailing address

10251 N 35TH AVE
PHOENIX AZ
85051-1305
US

V. Phone/Fax

Practice location:
  • Phone: 602-926-7200
  • Fax: 602-368-2730
Mailing address:
  • Phone: 602-926-7200
  • Fax: 602-368-2730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2236
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP3068
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP0241
License Number StateAZ

VIII. Authorized Official

Name: DR. DONALD MATTHEW STENHOFF
Title or Position: DIRECTOR
Credential: PHD
Phone: 602-926-7200