Provider Demographics
NPI:1104123116
Name:ACCEL
Entity type:Organization
Organization Name:ACCEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:STENHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-926-7200
Mailing Address - Street 1:10251 N 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-1305
Mailing Address - Country:US
Mailing Address - Phone:602-926-7200
Mailing Address - Fax:602-368-2730
Practice Address - Street 1:1430 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1406
Practice Address - Country:US
Practice Address - Phone:602-926-7200
Practice Address - Fax:602-368-2730
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCEL SCHOOL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-28
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0241235Z00000X
AZ2236225X00000X
AZSLP3068235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty