MS. STACEY JO BOLAR (NPI# 1265657936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265657936 |
| Entity Type | Individual |
| Full Name | MS. STACEY JO BOLAR |
| Credential | CCC-SLP |
| Practice Address |
3401 N 67th Ave Phoenix AZ 85033-4517 |
| Mailing Address |
812 W Piccadilly Rd Phoenix AZ 85013-3345 |
| Practice Telephone | 6236914085 |
| Mailing Telephone | 6232213614 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP2109 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
3401 N 67TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85033-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380853 | Laura Simchak Moore | Physical Therapist | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2006-05-09 |
| 1255766473 | Fielding Estepp | Speech-Language Pathologist | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2013-09-06 |
| 1437581873 | Kevin G Mitchell | Specialist/Technologist | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2013-08-08 |
| 1447515192 | Jennifer Ostreicher | Speech-Language Pathologist | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2012-07-09 |
| 1255605317 | Kathleen Stevens | Speech-Language Pathologist | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2012-03-06 |
| 1629342571 | Kristen Steen | Psychologist | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2012-02-23 |
| 1063785111 | Cartwright Elementary School District | Preferred Provider Organization | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2012-02-21 |
| 1083996011 | Bonnie Sue Voges | Registered Nurse | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2011-09-15 |
| 1689956187 | Nicole Lorene Faulkinbury | Licensed Practical Nurse | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2011-09-12 |
| 1669754172 | Naomi Susan Diggs | Licensed Practical Nurse | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2011-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1326458555 | Norman Loya | Private Vehicle | 7620 W Wolf St, Phoenix, AZ 85033 | 2014-04-28 |
| 1598188641 | Arlena Lawrence | Health Educator | 6602 W. Osborn Rd., Phoenix, AZ 85033 | 2014-01-27 |
| 1083921076 | Beth Marie Elia | Psychologist | 6601 W. Thomas Rd., Phoenix, AZ 85033 | 2010-09-12 |
| 1720317647 | Nguyen Quoc Tang | Pharmacist | 8325 W Indian Schood Rd, Phoenix, AZ 85033 | 2009-12-24 |
| 1760635775 | Sarah Bess Stauffer | Occupational Therapist | 3401 N. 67th Ave, Phoenix, AZ 85033 | 2008-11-04 |
| 1578748968 | Pain and Rehab Consultants LLC | Pain Medicine | 7400 W Indian School Rd, 114, Phoenix, AZ 85033 | 2008-01-03 |
| 1902023930 | Smile Dental Group | Dentist | 6524 W Indian School Road, Suite A, Phoenix, AZ 85033 | 2007-04-19 |
| 1801955067 | Reva Mae Mckenzie | Technician | 4615 No 82nd Lane, Phoenix, AZ 85033 | 2006-12-06 |
| Find all providers in zip 85033 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
| 1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
| 1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
| 1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
| 1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
| 1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
| 1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
| 1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
| 1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.