Provider Demographics
NPI:1700153087
Name:ZINK, ELIZABETH J (MSCCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:J
Last Name:ZINK
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 PASADENA DR
Mailing Address - Street 2:STE 115
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2969
Mailing Address - Country:US
Mailing Address - Phone:859-373-0002
Mailing Address - Fax:
Practice Address - Street 1:185 PASADENA DR
Practice Address - Street 2:STE 115
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2969
Practice Address - Country:US
Practice Address - Phone:859-373-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3732235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist