Provider Demographics
NPI:1710364013
Name:ZEILMAN, ANDRIA ELIZABETH (MS CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANDRIA
Middle Name:ELIZABETH
Last Name:ZEILMAN
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:ANDRIA
Other - Middle Name:
Other - Last Name:HASLAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4627 SHEPHERD HILLS RD
Mailing Address - Street 2:APT 504
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-9100
Mailing Address - Country:US
Mailing Address - Phone:573-291-2211
Mailing Address - Fax:
Practice Address - Street 1:1899 HIGHWAY 63
Practice Address - Street 2:
Practice Address - City:WESTPHALIA
Practice Address - State:MO
Practice Address - Zip Code:65085-2215
Practice Address - Country:US
Practice Address - Phone:573-455-2280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014020565235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO460022188Medicaid