Provider Demographics
NPI:1457680597
Name:ZUMWALT, DENISE ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ELIZABETH
Last Name:ZUMWALT
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 1:132 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1229
Mailing Address - Country:US
Mailing Address - Phone:410-517-1113
Mailing Address - Fax:410-517-2113
Practice Address - Street 1:132 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1229
Practice Address - Country:US
Practice Address - Phone:410-517-1113
Practice Address - Fax:410-517-2113
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02609235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist