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NPI Code Detail

MEDICARE: STEPHANIE BURBAR

MEDICARE: STEPHANIE BURBAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP8723AZ

General Provider Information

NPI Number : 1114346996
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BURBAR
Provider Business Mailing Address
First Line : 4411 E ASHURST DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-0129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4350 E RAY RD STE 101A
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-4707
Country : US
Telephone Number : 480-704-5954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 03/18/2025

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Directions to “ STEPHANIE BURBAR ” Practice Location

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