Provider Demographics
NPI:1699495911
Name:ZOLLINGER, EMILY JORDYN (SLPA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JORDYN
Last Name:ZOLLINGER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JORDYN
Other - Last Name:TIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLPA
Mailing Address - Street 1:3535 N 1ST AVE APT N102
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1701
Mailing Address - Country:US
Mailing Address - Phone:480-404-3789
Mailing Address - Fax:
Practice Address - Street 1:2830 E BROWN RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-5430
Practice Address - Country:US
Practice Address - Phone:480-404-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA140502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant