Doctor Name: | MS. JEANNA LOUISE ZITTING |
NPI Number: | 1578994760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | #SLP8455 |
Business Practice Address: | 255 North Cottonwood Street Colorado City, AZ - 860213391 |
Business Phone Number: | 9288759007 |
Business Fax Number: | |
Mailing Address: | Po Box 3391, COLORADO CITY |
State: | AZ |
Postal Code: | 860213391 |
Phone Number: | 4354670446 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | #SLP8455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |