Provider Demographics
NPI:1033365739
Name:ZAILA, RANDI
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:ZAILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 N LA PALOMA OESTE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-1340
Mailing Address - Country:US
Mailing Address - Phone:850-445-8442
Mailing Address - Fax:
Practice Address - Street 1:1641 E OSBORN RD
Practice Address - Street 2:SUITE 1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7146
Practice Address - Country:US
Practice Address - Phone:602-265-4124
Practice Address - Fax:602-248-8843
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist