Provider Demographics
NPI:1881262665
Name:ZINNO, AVA
Entity type:Individual
Prefix:
First Name:AVA
Middle Name:
Last Name:ZINNO
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 1:3021 FAIRHILL DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3238
Mailing Address - Country:US
Mailing Address - Phone:610-564-4408
Mailing Address - Fax:
Practice Address - Street 1:321 GRAVEL PIKE
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-1835
Practice Address - Country:US
Practice Address - Phone:484-973-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist