Provider Demographics
NPI:1033691993
Name:WELTZIN, ZOE (MS)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:WELTZIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 N LINCOLN PARK W APT 2N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5472
Mailing Address - Country:US
Mailing Address - Phone:320-429-0174
Mailing Address - Fax:
Practice Address - Street 1:1906 N LINCOLN PARK W APT 2N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-5472
Practice Address - Country:US
Practice Address - Phone:320-429-0174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist