Provider Demographics
NPI:1881939148
Name:ZELAYA, JOLIANA PEREZ (MA)
Entity type:Individual
Prefix:
First Name:JOLIANA
Middle Name:PEREZ
Last Name:ZELAYA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 PHILADELPHIA DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-5590
Mailing Address - Country:US
Mailing Address - Phone:954-802-4127
Mailing Address - Fax:
Practice Address - Street 1:7100 N HIGH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2316
Practice Address - Country:US
Practice Address - Phone:614-505-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 10512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist