Provider Demographics
NPI:1912197260
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 LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:HANSEN
Authorized Official - Last Name:BURWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSE
Authorized Official - Phone:480-897-2955
Mailing Address - Street 1:2020 E CARSON DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7406
Mailing Address - Country:US
Mailing Address - Phone:480-897-2955
Mailing Address - Fax:
Practice Address - Street 1:2020 E CARSON DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7406
Practice Address - Country:US
Practice Address - Phone:480-897-2955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty