Provider Demographics
NPI:1245552819
Name:ZANE, GRETA PAIGE (MS, CCC, SLP)
Entity type:Individual
Prefix:
First Name:GRETA
Middle Name:PAIGE
Last Name:ZANE
Suffix:
Gender:F
Credentials:MS, 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:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01012-0202
Mailing Address - Country:US
Mailing Address - Phone:413-687-2116
Mailing Address - Fax:
Practice Address - Street 1:45 BROAD ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3469
Practice Address - Country:US
Practice Address - Phone:413-687-2116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist