Provider Demographics
NPI:1093979791
Name:WALDRON, MAYBETTE ZUPKO (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:MAYBETTE
Middle Name:ZUPKO
Last Name:WALDRON
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Gender:F
Credentials:MS CCC SLP
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Mailing Address - Street 1:2228 BLACK ROCK TURNPIKE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825
Mailing Address - Country:US
Mailing Address - Phone:203-908-4433
Mailing Address - Fax:203-908-4449
Practice Address - Street 1:2228 BLACK ROCK TURNPIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825
Practice Address - Country:US
Practice Address - Phone:203-908-4433
Practice Address - Fax:208-908-4449
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2013-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT000828235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist