Provider Demographics
NPI:1740635606
Name:ZURAWSKI, ELIZABETH (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:ZURAWSKI
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7645 LAUREL OAK DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-5371
Mailing Address - Country:US
Mailing Address - Phone:214-930-7629
Mailing Address - Fax:
Practice Address - Street 1:7645 LAUREL OAK DR
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-5371
Practice Address - Country:US
Practice Address - Phone:214-930-7629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2023-02-08
Deactivation Date:2020-05-22
Deactivation Code:
Reactivation Date:2020-06-02
Provider Licenses
StateLicense IDTaxonomies
GASLP007799235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist