Stephanie Balt, M.S., SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP9432 Issued in AZ

Practice address

2604 W Rapalo Rd
Phoenix, AZ 85086-5531

Phone

(330) 309-7777

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Brogden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1669658951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W RAPALO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850865531",
            "telephone_number": "330-309-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 W RAPALO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850865531",
            "telephone_number": "330-309-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALT",
        "first_name": "STEPHANIE",
        "credential": "M.S., SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP9432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BROGDEN",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blerina Balliu, M.D.
• Brett Allen Balocca, OD
• Madison Paige Balog, PHARMD
• Mojisola R Balogun, PMHNP
• Robert Balsmeier, DDS
• Carlos Andre Balthazar Da Silveira, MD
• Francisco F Baltodano, OTRL
• Lindsay Baltzer, DO
• Angela Dorthina Baluyot, PMHNP-BC
• Jennifer V. Baluyut, LPT

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.