Provider Demographics
NPI:1487168845
Name:ZIEMBA, RYANNE (M A CCC-SLP)
Entity type:Individual
Prefix:
First Name:RYANNE
Middle Name:
Last Name:ZIEMBA
Suffix:
Gender:F
Credentials:M A CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 TERRA VISTA AVE APT G8
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3887
Mailing Address - Country:US
Mailing Address - Phone:734-751-4102
Mailing Address - Fax:
Practice Address - Street 1:22 TERRA VISTA AVE APT G8
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3887
Practice Address - Country:US
Practice Address - Phone:734-751-4102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26244235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist