Healthcare Provider Details

I. General information

NPI: 1427531821
Provider Name (Legal Business Name): MCKENZIE ROSE ZINN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9181 E REDFIELD RD
SCOTTSDALE AZ
85260-7557
US

IV. Provider business mailing address

9181 E REDFIELD RD
SCOTTSDALE AZ
85260-7557
US

V. Phone/Fax

Practice location:
  • Phone: 480-484-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberD10670913
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: