Provider Demographics
NPI:1730464660
Name:ZWANG, FRAN S (MA CCC SLP)
Entity Type:Individual
Prefix:
First Name:FRAN
Middle Name:S
Last Name:ZWANG
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 STEPPING STONE CRES
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5012
Mailing Address - Country:US
Mailing Address - Phone:631-864-1642
Mailing Address - Fax:
Practice Address - Street 1:8 STEPPING STONE CRES
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5012
Practice Address - Country:US
Practice Address - Phone:631-864-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2915-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist