Provider Demographics
NPI:1699802587
Name:ZIELINSKI, KATHRYN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4553 HINCKLEY INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-6009
Mailing Address - Country:US
Mailing Address - Phone:216-736-2730
Mailing Address - Fax:216-861-0253
Practice Address - Street 1:4553 HINCKLEY INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-6009
Practice Address - Country:US
Practice Address - Phone:216-736-2730
Practice Address - Fax:216-861-0253
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP3128235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHZI4266381OtherMEDICARE PTAN