Provider Demographics
NPI:1306302989
Name:ZAYAT, JOANNE K (MS CCCSLP)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:K
Last Name:ZAYAT
Suffix:
Gender:F
Credentials:MS CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2927
Mailing Address - Country:US
Mailing Address - Phone:201-803-0943
Mailing Address - Fax:
Practice Address - Street 1:537 MAIN STREET
Practice Address - Street 2:ROOSEVELT ISLAND
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10044
Practice Address - Country:US
Practice Address - Phone:212-223-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004883235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty