Provider Demographics
NPI:1437032778
Name:ZELEZNIKAR, JODY M (SLP)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:M
Last Name:ZELEZNIKAR
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 1:182 JAY COOKE RD
Mailing Address - Street 2:
Mailing Address - City:ESKO
Mailing Address - State:MN
Mailing Address - Zip Code:55733-9722
Mailing Address - Country:US
Mailing Address - Phone:218-428-7727
Mailing Address - Fax:
Practice Address - Street 1:182 JAY COOKE RD
Practice Address - Street 2:
Practice Address - City:ESKO
Practice Address - State:MN
Practice Address - Zip Code:55733-9722
Practice Address - Country:US
Practice Address - Phone:218-428-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN528858235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist