Provider Demographics
NPI:1821834128
Name:ZIEGELMANN, KARISSA NICOLE
Entity type:Individual
Prefix:
First Name:KARISSA
Middle Name:NICOLE
Last Name:ZIEGELMANN
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 1:250 CONGRESS PARK DR APT 293
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4751
Mailing Address - Country:US
Mailing Address - Phone:239-300-5511
Mailing Address - Fax:
Practice Address - Street 1:8177 GLADES RD STE 202
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4022
Practice Address - Country:US
Practice Address - Phone:561-270-4433
Practice Address - Fax:561-931-4242
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant