Provider Demographics
NPI:1780026997
Name:ZOBELL, ANNELI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNELI
Middle Name:
Last Name:ZOBELL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 N EVERGREEN RD
Mailing Address - Street 2:# 2031
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-7520
Mailing Address - Country:US
Mailing Address - Phone:307-220-1787
Mailing Address - Fax:
Practice Address - Street 1:2040 S ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7075
Practice Address - Country:US
Practice Address - Phone:602-323-0894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ#SLP8386235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist