Individual
MARY ELLEN ZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3501 W 95TH ST, OVERLAND PARK, KS 66206-2063
(913) 648-4500
Mailing address
641 E 72ND TER, KANSAS CITY, MO 64131-1667
(510) 599-1389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2022012194
MO
235Z00000X
Speech-Language Pathologist
Primary
5701
KS
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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