MEDICARE: MISS MIGUELINA ZAPATA PHD CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	SLP000015	DC

General Provider Information

NPI Number	:	1750689907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MIGUELINA ZAPATA PHD CCC-SLP

Provider Business Mailing Address
First Line	:	4500 NEW HAMPSHIRE AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-4734
Country	:	US
Telephone Number	:	917-574-2755
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 NEW HAMPSHIRE AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-4734
Country	:	US
Telephone Number	:	917-574-2755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2011
Last Update Date	:	06/23/2021

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Directions to “ MISS MIGUELINA ZAPATA PHD CCC-SLP” Practice Location

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