Provider Demographics
NPI:1699306142
Name:SEIKALY, ZEINA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ZEINA
Middle Name:
Last Name:SEIKALY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 ELLENVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2716
Mailing Address - Country:US
Mailing Address - Phone:818-530-3909
Mailing Address - Fax:
Practice Address - Street 1:6500 ELLENVIEW AVE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2716
Practice Address - Country:US
Practice Address - Phone:818-530-3909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29402235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist