Provider Demographics
NPI:1649313537
Name:ZUBICK, HOWARD HENRY (PHD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:HENRY
Last Name:ZUBICK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3934
Mailing Address - Country:US
Mailing Address - Phone:978-264-4300
Mailing Address - Fax:978-264-4330
Practice Address - Street 1:525 MAIN ST
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3934
Practice Address - Country:US
Practice Address - Phone:978-264-4300
Practice Address - Fax:978-264-4330
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAU239231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAZU024064Medicare ID - Type UnspecifiedMEDICARE PART B