Provider Demographics
NPI:1578248134
Name:ZUROVCHAK, DEVON N (AUD)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:N
Last Name:ZUROVCHAK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 CIRCLEVILLE PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-2269
Mailing Address - Country:US
Mailing Address - Phone:740-474-8475
Mailing Address - Fax:740-477-2430
Practice Address - Street 1:5074 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1526
Practice Address - Country:US
Practice Address - Phone:614-431-1010
Practice Address - Fax:614-847-0015
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA02465231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist