Provider Demographics
NPI:1881116945
Name:ZINKE, HILARY JEAN
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:JEAN
Last Name:ZINKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:JEAN
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:415 4TH ST. N.
Mailing Address - Street 2:FARGO PUBLIC SCHOOLS
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102
Mailing Address - Country:US
Mailing Address - Phone:701-446-1000
Mailing Address - Fax:701-446-1200
Practice Address - Street 1:415 4TH ST N
Practice Address - Street 2:FARGO PUBLIC SCHOOLS
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102
Practice Address - Country:US
Practice Address - Phone:701-446-1000
Practice Address - Fax:701-446-1200
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1576235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist