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NPI Code Detail

MEDICARE: VICTORIA STAMADIANOS M.S.

MEDICARE: VICTORIA STAMADIANOS M.S.
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 PathologistTSLP8509AZ

General Provider Information

NPI Number : 1295167609
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA STAMADIANOS M.S.
Provider Business Mailing Address
First Line : 19601 N 14TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-1775
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1226 W OSBORN RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-3618
Country : US
Telephone Number : 602-707-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2013
Last Update Date : 08/08/2013

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Directions to “ VICTORIA STAMADIANOS M.S.” Practice Location

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