Provider Demographics
NPI:1235506528
Name:ZEDNICK, EMERY C (SLP)
Entity type:Individual
Prefix:
First Name:EMERY
Middle Name:C
Last Name:ZEDNICK
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5325 63RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-9504
Mailing Address - Country:US
Mailing Address - Phone:360-631-6393
Mailing Address - Fax:360-634-4443
Practice Address - Street 1:5325 63RD AVE NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-9504
Practice Address - Country:US
Practice Address - Phone:360-631-6393
Practice Address - Fax:360-634-4443
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist