Provider Demographics
NPI:1760644256
Name:VAIL UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:VAIL UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-879-2567
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:13801 E. BENSON HWY
Mailing Address - City:VAIL
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-0800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16701 S HOUGHTON RD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:AZ
Practice Address - Zip Code:85641-2157
Practice Address - Country:US
Practice Address - Phone:520-879-2567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP5659235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty