Provider Demographics
NPI:1982712642
Name:ZYSKI, BARBARA JEAN (EDD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JEAN
Last Name:ZYSKI
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:JEAN
Other - Last Name:WAGENER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:MANAGED CARE/SPEECH PATHOLOGY
Mailing Address - Street 2:VAMC PERRY POINT
Mailing Address - City:PERRY POINT
Mailing Address - State:MD
Mailing Address - Zip Code:21902
Mailing Address - Country:US
Mailing Address - Phone:410-642-2411
Mailing Address - Fax:
Practice Address - Street 1:MANAGED CARE/SPEECH PATHOLOGY
Practice Address - Street 2:VAMC PERRY POINT
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist