Provider Demographics
NPI:1740416205
Name:ZANUZOSKI, AMY P
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:P
Last Name:ZANUZOSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 METLAKATLA ST
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7666
Mailing Address - Country:US
Mailing Address - Phone:907-747-3636
Mailing Address - Fax:907-747-2702
Practice Address - Street 1:113 METLAKATLA ST
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7666
Practice Address - Country:US
Practice Address - Phone:907-747-3636
Practice Address - Fax:907-747-2702
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor