Individual
CHRISTINE GRACE ZINZILIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2549
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146005662
STATE LICENSE NUMBER
IL
Enumeration date
05/03/2007
Last updated
03/18/2022
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