Basic Information
| Provider Information | |||||||||
| NPI: | 1760674584 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZEEVI | ||||||||
| FirstName: | DINA | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | LHIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 197 WESTBANK EXPY # 5 | ||||||||
| Address2: | |||||||||
| City: | GRETNA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700532459 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5047084440 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 197 WESTBANK EXPY # 5 | ||||||||
| Address2: | |||||||||
| City: | GRETNA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700532459 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5047084440 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2007 | ||||||||
| LastUpdateDate: | 07/09/2015 | ||||||||
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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 | 237700000X | 1136 | LA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.