Healthcare Provider Details

I. General information

NPI: 1730357070
Provider Name (Legal Business Name): JANET NORA ZYLINSKI M.A. CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MINNESOTA AVE
LITTLE CANADA MN
55117-1781
US

IV. Provider business mailing address

80 MINNESOTA AVE W
LITTLE CANADA MN
55117
US

V. Phone/Fax

Practice location:
  • Phone: 651-481-8040
  • Fax: 651-481-8649
Mailing address:
  • Phone: 651-481-8040
  • Fax: 651-481-6849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number8288
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: