Provider Demographics
NPI:1730464082
Name:ZACHS, BARBARA WHITTEBERRY (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:WHITTEBERRY
Last Name:ZACHS
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CANTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06092-2806
Mailing Address - Country:US
Mailing Address - Phone:860-217-1434
Mailing Address - Fax:
Practice Address - Street 1:64 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06019-3035
Practice Address - Country:US
Practice Address - Phone:860-380-0774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004412235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist