Doctor Name: | CONNIE T ZELLER |
NPI Number: | 1942266093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-LP |
License Number: | 5392 |
Business Practice Address: | 9055 Springbrook Dr Nw Coon Rapids, MN - 554335841 |
Business Phone Number: | 7637809155 |
Business Fax Number: | |
Mailing Address: | 2925 Chicago Ave, MINNEAPOLIS |
State: | MN |
Postal Code: | 554071321 |
Phone Number: | 6122624813 |
Fax Number: | 6122624194 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |