Provider Demographics
NPI:1427322338
Name:STANCZYK, ANNMARIE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:
Last Name:STANCZYK
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:STANCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:4332 E SWILLING RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-8814
Mailing Address - Country:US
Mailing Address - Phone:602-561-4741
Mailing Address - Fax:
Practice Address - Street 1:3808 W JOAN DE ARC AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1124
Practice Address - Country:US
Practice Address - Phone:602-896-5365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP6456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist