Provider Demographics
NPI:1982972717
Name:ZAPP, MARY ANN (MCD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:ZAPP
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 W PECOS RD
Mailing Address - Street 2:APT 1080
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4863
Mailing Address - Country:US
Mailing Address - Phone:858-692-1545
Mailing Address - Fax:
Practice Address - Street 1:2450 W PECOS RD
Practice Address - Street 2:APT 1080
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4863
Practice Address - Country:US
Practice Address - Phone:858-692-1545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP7285235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist