Provider Demographics
NPI:1215658190
Name:ZWEIFEL, ADELAIDE
Entity type:Individual
Prefix:
First Name:ADELAIDE
Middle Name:
Last Name:ZWEIFEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 S GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-4921
Mailing Address - Country:US
Mailing Address - Phone:262-497-7270
Mailing Address - Fax:877-540-0135
Practice Address - Street 1:2335 S GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53406-4921
Practice Address - Country:US
Practice Address - Phone:262-497-7270
Practice Address - Fax:877-540-0135
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
WI7074154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator