Basic Information
| Provider Information | |||||||||
| NPI: | 1265552467 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZUIDERHOEK | ||||||||
| FirstName: | LEE ANNE | ||||||||
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| Credential: | M.A. CCC SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5010 LONG MEADOW DR | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450059679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5137050027 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1390 KING TREE DR | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454051401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372780723 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 6380 | OH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.