Provider Demographics
NPI:1659738094
Name:ANSPACH, ZEINA
Entity Type:Individual
Prefix:
First Name:ZEINA
Middle Name:
Last Name:ANSPACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 OFFICE CENTER CT STE 224
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7419
Mailing Address - Country:US
Mailing Address - Phone:661-489-0880
Mailing Address - Fax:661-558-0146
Practice Address - Street 1:5329 OFFICE CENTER CT STE 224
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7419
Practice Address - Country:US
Practice Address - Phone:661-489-0880
Practice Address - Fax:661-558-0146
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYSLPLPA00218763235Z00000X
CA21635235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist