Healthcare Provider Details

I. General information

NPI: 1558616763
Provider Name (Legal Business Name): ALENA M ZURICK M.S., SLP-CF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 E INDIAN BEND RD STE 123
SCOTTSDALE AZ
85250-4819
US

IV. Provider business mailing address

1501 E LAUREL AVE
GILBERT AZ
85234-4843
US

V. Phone/Fax

Practice location:
  • Phone: 480-951-6451
  • Fax:
Mailing address:
  • Phone: 480-343-2949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP6632
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: