MEDICARE: DANIELLE R ZELLNER SLPA

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
1	2355S0801X	Speech-Language Assistant	SI7465	FL

General Provider Information

NPI Number	:	1497618862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE R ZELLNER SLPA

Provider Business Mailing Address
First Line	:	1112 S MAGNOLIA DR
Second Line	:	APTU204
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-4673
Country	:	US
Telephone Number	:	850-322-8709
Fax Number	:	850-210-0373

Provider Business Practice Location Address
First Line	:	2720 APALACHEE PKWY # 10
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3636
Country	:	US
Telephone Number	:	850-322-8709
Fax Number	:	850-210-0373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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