Healthcare Provider Details

I. General information

NPI: 1366374944
Provider Name (Legal Business Name): ASHTON ZITZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 TAMPA RD STE Q
PALM HARBOR FL
34684-3132
US

IV. Provider business mailing address

2641 ALEXANDER PL APT 301
CLEARWATER FL
33763-1180
US

V. Phone/Fax

Practice location:
  • Phone: 330-604-0207
  • Fax:
Mailing address:
  • Phone: 330-604-0207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: