Provider Demographics
NPI:1962967133
Name:ZANOTELLI, LANDEE LYNN
Entity type:Individual
Prefix:
First Name:LANDEE
Middle Name:LYNN
Last Name:ZANOTELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 TROUT AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3228
Mailing Address - Country:US
Mailing Address - Phone:719-251-7080
Mailing Address - Fax:
Practice Address - Street 1:104 TROUT AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3228
Practice Address - Country:US
Practice Address - Phone:719-251-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health