Provider Demographics
NPI:1629284492
Name:ZAWADZKI, ANGELA MARIE (MA)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MARIE
Last Name:ZAWADZKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4603 MATE ROAD
Mailing Address - Street 2:
Mailing Address - City:PENDER ISLAND
Mailing Address - State:BC
Mailing Address - Zip Code:V0N2M2
Mailing Address - Country:CA
Mailing Address - Phone:250-629-6723
Mailing Address - Fax:
Practice Address - Street 1:4603 MATE ROAD
Practice Address - Street 2:
Practice Address - City:PENDER ISLAND
Practice Address - State:BC
Practice Address - Zip Code:V0N2M2
Practice Address - Country:CA
Practice Address - Phone:250-629-6723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist