Provider Demographics
NPI:1932280658
Name:ZARAJCZYK, DEBORAH (CCC/A)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:ZARAJCZYK
Suffix:
Gender:F
Credentials:CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 HAND AVE
Mailing Address - Street 2:STE M
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-8194
Mailing Address - Country:US
Mailing Address - Phone:386-673-5280
Mailing Address - Fax:386-673-8618
Practice Address - Street 1:1400 HAND AVE
Practice Address - Street 2:STE M
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8194
Practice Address - Country:US
Practice Address - Phone:386-673-5280
Practice Address - Fax:386-673-8618
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY494237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS1100Medicare ID - Type Unspecified