Provider Demographics
NPI:1205405438
Name:ZELLER, EMILY ISABEL (MA, CF-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ISABEL
Last Name:ZELLER
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 283
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21705-0283
Mailing Address - Country:US
Mailing Address - Phone:240-397-6750
Mailing Address - Fax:301-668-7008
Practice Address - Street 1:5268 NICHOLSON LN STE A
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1010
Practice Address - Country:US
Practice Address - Phone:240-397-6750
Practice Address - Fax:301-668-7008
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02281L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist