Provider Demographics
NPI:1033452685
Name:ZINN & ASSOCIATES SPEECH LANGUAGE PATHOLOGY AND SWALLOWING SPECIALISTS
Entity Type:Organization
Organization Name:ZINN & ASSOCIATES SPEECH LANGUAGE PATHOLOGY AND SWALLOWING SPECIALISTS
Other - Org Name:ZINN & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:951-907-1716
Mailing Address - Street 1:23905 CLINTON KEITH RD # 114-367
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-7897
Mailing Address - Country:US
Mailing Address - Phone:951-907-1716
Mailing Address - Fax:951-698-2296
Practice Address - Street 1:23905 CLINTON KEITH RD # 114-367
Practice Address - Street 2:
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-7897
Practice Address - Country:US
Practice Address - Phone:951-907-1716
Practice Address - Fax:951-698-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10152235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty