Provider Demographics
NPI:1700591617
Name:HYATT, TIMEA ZABO (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TIMEA
Middle Name:ZABO
Last Name:HYATT
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 1:4109 KENNEDY ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-1738
Mailing Address - Country:US
Mailing Address - Phone:727-271-2921
Mailing Address - Fax:
Practice Address - Street 1:4109 KENNEDY ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20781-1738
Practice Address - Country:US
Practice Address - Phone:727-271-2921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10368235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist