Provider Demographics
NPI:1811050115
Name:TEMPE ELEMENTARY SCHOOL DISTRICT #3
Entity type:Organization
Organization Name:TEMPE ELEMENTARY SCHOOL DISTRICT #3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:ALANE
Authorized Official - Last Name:ZINSCHLAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-838-0711
Mailing Address - Street 1:3205 S RURAL RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3853
Mailing Address - Country:US
Mailing Address - Phone:480-730-7100
Mailing Address - Fax:
Practice Address - Street 1:727 W CORNELL DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-2705
Practice Address - Country:US
Practice Address - Phone:480-838-0711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1619235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty