Healthcare Provider Details

I. General information

NPI: 1265716641
Provider Name (Legal Business Name): HEIDI R. ZINN M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2011
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36105 MURRIETA OAKS AVE
MURRIETA CA
92562-2311
US

IV. Provider business mailing address

25090 CRIMSON LASSO DR
WILDOMAR CA
92595-7614
US

V. Phone/Fax

Practice location:
  • Phone: 951-907-1716
  • Fax:
Mailing address:
  • Phone: 951-907-1716
  • Fax: 951-698-2296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10152
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: