Healthcare Provider Details

I. General information

NPI: 1669928107
Provider Name (Legal Business Name): KATE LAUREN ZVONEK SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W 29TH ST STE 1
HOLLAND MI
49423-6973
US

IV. Provider business mailing address

205 W 29TH ST STE 1
HOLLAND MI
49423-6973
US

V. Phone/Fax

Practice location:
  • Phone: 616-218-0092
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101001613
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: