Provider Demographics
NPI:1205117249
Name:SCHWARTZ, NANCY ZINN (PHD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ZINN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 ETHAN ALLEN HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-6238
Mailing Address - Country:US
Mailing Address - Phone:203-544-9560
Mailing Address - Fax:203-544-9826
Practice Address - Street 1:137 ETHAN ALLEN HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-6238
Practice Address - Country:US
Practice Address - Phone:203-544-9560
Practice Address - Fax:203-544-9826
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-05
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001022235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist