Healthcare Provider Details

I. General information

NPI: 1790803849
Provider Name (Legal Business Name): APACHE JUNCTION UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 N IDAHO RD
APACHE JUNCTION AZ
85219-1716
US

IV. Provider business mailing address

1755 N IDAHO RD
APACHE JUNCTION AZ
85219-1716
US

V. Phone/Fax

Practice location:
  • Phone: 480-982-1110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number187330
License Number StateAZ

VIII. Authorized Official

Name: MS. PEGGY MEJIA
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 480-982-1110