Provider Demographics
NPI:1609957059
Name:ZUBROD, RUBY LYNN (CCC A)
Entity Type:Individual
Prefix:DR
First Name:RUBY
Middle Name:LYNN
Last Name:ZUBROD
Suffix:
Gender:F
Credentials:CCC A
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:
Other - Last Name:CHAFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:PO BOX 21804
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82003
Mailing Address - Country:US
Mailing Address - Phone:307-426-4327
Mailing Address - Fax:307-426-4327
Practice Address - Street 1:7215 COMMONS CIR
Practice Address - Street 2:UNIT C
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-2666
Practice Address - Country:US
Practice Address - Phone:307-426-4327
Practice Address - Fax:307-638-0394
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO200342231H00000X
WYA-994231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist