Provider Demographics
NPI:1538840954
Name:SOSA, ZARAY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ZARAY
Middle Name:
Last Name:SOSA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3745 LOS ALTOS LOOP APT 203
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2632
Mailing Address - Country:US
Mailing Address - Phone:978-914-0826
Mailing Address - Fax:
Practice Address - Street 1:3745 LOS ALTOS LOOP APT 203
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2632
Practice Address - Country:US
Practice Address - Phone:978-914-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist