Provider Demographics
NPI:1669020939
Name:ZINN, DEBRA (MS SLP TSSLD)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:ZINN
Suffix:
Gender:F
Credentials:MS SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 DAUB AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1136
Mailing Address - Country:US
Mailing Address - Phone:516-284-9557
Mailing Address - Fax:
Practice Address - Street 1:417 DAUB AVE
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1136
Practice Address - Country:US
Practice Address - Phone:516-284-9557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist