Provider Demographics
NPI:1831701242
Name:ZUKOWSKI, KASSIE NICOLE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KASSIE
Middle Name:NICOLE
Last Name:ZUKOWSKI
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 1:10 CHESTNUT ST APT 1110
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-1894
Mailing Address - Country:US
Mailing Address - Phone:603-661-9679
Mailing Address - Fax:
Practice Address - Street 1:10 CHESTNUT ST APT 1110
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-1894
Practice Address - Country:US
Practice Address - Phone:603-661-9679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77732-SP-SL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist