Provider Demographics
NPI:1598821274
Name:ZULOFSKY, DEBRA R (MED,CCC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:R
Last Name:ZULOFSKY
Suffix:
Gender:F
Credentials:MED,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 COBBLESTONE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1301
Mailing Address - Country:US
Mailing Address - Phone:508-230-2646
Mailing Address - Fax:
Practice Address - Street 1:12 COBBLESTONE RD
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1301
Practice Address - Country:US
Practice Address - Phone:508-230-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2889235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist