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NPI Code Detail

MEDICARE: MR. MICHAEL-JEAN ZINNI CCC-SLP

MEDICARE:  MR. MICHAEL-JEAN  ZINNI  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP36503CA
2235Z00000XSpeech-Language Pathologist7514LA
3235Z00000XSpeech-Language PathologistSLP.0005440CO
4235Z00000XSpeech-Language Pathologist14218NC

General Provider Information

NPI Number : 1417592882
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL-JEAN ZINNI CCC-SLP
Provider Business Mailing Address
First Line : 3200 KINGSBRIDGE CT
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-5419
Country : US
Telephone Number : 385-645-4757
Fax Number :
Provider Business Practice Location Address
First Line : 3200 KINGSBRIDGE CT
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-5419
Country : US
Telephone Number : 385-645-4757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2019
Last Update Date : 04/07/2026

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Directions to “ MR. MICHAEL-JEAN ZINNI CCC-SLP” Practice Location

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