NPI 1134632193
Stacey Bonenberger
Practice location
- Address
- 22444 S 209th Way, Queen Creek, AZ 85142-4877
- Phone
- (480) 433-0686
Registered specialties
Speech-Language Assistant
Primary
Registry record
- NPI
- 1134632193
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Nov 2017
- Record last updated
- 13 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.