Healthcare Provider Details

I. General information

NPI: 1205164571
Provider Name (Legal Business Name): SABRINA ZOLDEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2009
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 NE LOOP 410
SAN ANTONIO TX
78216-5829
US

IV. Provider business mailing address

4069 BROOK HOLLOW DR
SCHERTZ TX
78154-3044
US

V. Phone/Fax

Practice location:
  • Phone: 210-494-2343
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number104031
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: