Provider Demographics
NPI:1417592882
Name:ZINNI, MICHAEL-JEAN (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL-JEAN
Middle Name:
Last Name:ZINNI
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 MAGAZINE ST
Mailing Address - Street 2:APT 2
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-4770
Mailing Address - Country:US
Mailing Address - Phone:385-645-4757
Mailing Address - Fax:
Practice Address - Street 1:1546 MAGAZINE ST
Practice Address - Street 2:APT 2
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-4770
Practice Address - Country:US
Practice Address - Phone:385-645-4757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7514235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist