Provider Demographics
NPI:1568010700
Name:ZIMMERMANN-POLLACK, EMILY KATE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KATE
Last Name:ZIMMERMANN-POLLACK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KATE
Other - Last Name:ZIMMERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5411 MEADOW WOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-3706
Mailing Address - Country:US
Mailing Address - Phone:440-665-9946
Mailing Address - Fax:
Practice Address - Street 1:5411 MEADOW WOOD BLVD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-3706
Practice Address - Country:US
Practice Address - Phone:440-665-9946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13108235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist