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NPI Code Detail

MEDICARE: MACKENZIE ZOLLER

MEDICARE: MACKENZIE ZOLLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist14400CA

General Provider Information

NPI Number : 1073045290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE ZOLLER
Provider Business Mailing Address
First Line : 2600 COMPASS RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 637 E ROMIE LN
Second Line :
City : SALINAS
State : CA
Zip : 93901-4205
Country : US
Telephone Number : 831-424-0687
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 12/18/2023

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Directions to “ MACKENZIE ZOLLER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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