Sharlene Marie Stager, M.A.
Individual provider Active NPI Speech-Language Pathologist · Oracle, AZ
NPI 1831213396 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831213396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP0158 (AZ)
- Practice address
- 1290 E Paseo Encino
Oracle, AZ 85623-6056 - Phone
- (520) 896-9011
- Fax
- (520) 896-2045
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0158 | AZ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP0158 | AZ | Yes |
Addresses
Primary practice location
1290 E Paseo Encino
Oracle, AZ 85623-6056
Mailing address
1290 E Paseo Encino
Oracle, AZ 85623-6056
Phone (520) 896-9011
Other names
- Miss Sharlene Marie Gomes
Other providers in Oracle, AZ
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All providers in Oracle, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.