Healthcare Provider Details

I. General information

NPI: 1285755355
Provider Name (Legal Business Name): GINA L ZIELINSKI CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25195 TAFT RD
NOVI MI
48374-2421
US

IV. Provider business mailing address

1052 DEEP VALLEY DR
MILFORD MI
48381-2836
US

V. Phone/Fax

Practice location:
  • Phone: 248-449-1230
  • Fax:
Mailing address:
  • Phone: 248-245-7007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101003211
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number04241
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: