Provider Demographics
NPI:1427402213
Name:ZUKER, URSULA
Entity Type:Individual
Prefix:
First Name:URSULA
Middle Name:
Last Name:ZUKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2447
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-4447
Mailing Address - Country:US
Mailing Address - Phone:253-293-5581
Mailing Address - Fax:
Practice Address - Street 1:1608 WEATHERSWOOD DR NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7876
Practice Address - Country:US
Practice Address - Phone:989-285-5420
Practice Address - Fax:253-850-2530
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WALW610177451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor