Healthcare Provider Details

I. General information

NPI: 1245144955
Provider Name (Legal Business Name): ERIKA ZAJAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 E WATTLES RD
TROY MI
48085-5099
US

IV. Provider business mailing address

777 PASSIVE
ROCHESTER HILLS MI
48306-3591
US

V. Phone/Fax

Practice location:
  • Phone: 248-606-0551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001535
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: