Provider Demographics
NPI:1912052291
Name:ZIEGLER, TERESA ANN (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:ANN
Last Name:ZIEGLER
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 1:1542 BIG DANGER RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-9450
Mailing Address - Country:US
Mailing Address - Phone:479-754-3834
Mailing Address - Fax:
Practice Address - Street 1:1542 BIG DANGER RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-9450
Practice Address - Country:US
Practice Address - Phone:479-754-3834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP475235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist