Healthcare Provider Details

I. General information

NPI: 1811285729
Provider Name (Legal Business Name): JOY C ZAPP MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2011
Last Update Date: 07/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E CALL ST
STARKE FL
32091-3405
US

IV. Provider business mailing address

603 E CALL ST
STARKE FL
32091-3405
US

V. Phone/Fax

Practice location:
  • Phone: 904-964-8900
  • Fax: 904-964-5309
Mailing address:
  • Phone: 904-964-8900
  • Fax: 904-964-5309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA4036
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: