MEDICARE: ROSE PHILOMENA ZIGNEGO 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
1	235Z00000X	Speech-Language Pathologist	5354	WI

General Provider Information

NPI Number	:	1649958117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE PHILOMENA ZIGNEGO SLP

Provider Business Mailing Address
First Line	:	6825 W LLOYD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53213-1917
Country	:	US
Telephone Number	:	262-397-7446
Fax Number	:

Provider Business Practice Location Address
First Line	:	6825 W LLOYD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53213-1917
Country	:	US
Telephone Number	:	262-397-7446
Fax Number	:

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

Provider Enumeration Date	:	07/06/2023
Last Update Date	:	08/25/2023

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Directions to “ ROSE PHILOMENA ZIGNEGO SLP” Practice Location

Language	Start Address	Practice Location

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