Healthcare Provider Details

I. General information

NPI: 1992920268
Provider Name (Legal Business Name): DEER VALLEY UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 W GROVERS AVE
GLENDALE AZ
85308-1300
US

IV. Provider business mailing address

5130 W GROVERS AVE
GLENDALE AZ
85308-1300
US

V. Phone/Fax

Practice location:
  • Phone: 602-467-6519
  • Fax: 602-467-6580
Mailing address:
  • Phone: 602-467-6519
  • Fax: 602-467-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROL WELLS
Title or Position: DSC COORDINATOR
Credential:
Phone: 623-445-5000