Provider Demographics
NPI:1972910594
Name:ZAPATA, JENILEE H (MS CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:JENILEE
Middle Name:H
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 LAKE PALESTINE
Mailing Address - Street 2:
Mailing Address - City:ROBSTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78380-6144
Mailing Address - Country:US
Mailing Address - Phone:361-249-5398
Mailing Address - Fax:
Practice Address - Street 1:501 N REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4643
Practice Address - Country:US
Practice Address - Phone:956-792-3277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist