Doctor Name: | JENNIE ANN ZELENAK |
NPI Number: | 1447627518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFY-SLP |
License Number: | 242.003690 |
Business Practice Address: | 400 Caylor Blvd Bluffton, IN - 467148805 |
Business Phone Number: | 2608248940 |
Business Fax Number: | |
Mailing Address: | 1423 N 2nd St, EDWARDSVILLE |
State: | IL |
Postal Code: | 620251074 |
Phone Number: | 5174426039 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.003690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |