Provider Demographics
NPI:1982974259
Name:ZRAUNIG, KELLY DANIELLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:DANIELLE
Last Name:ZRAUNIG
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 1:278 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3230
Mailing Address - Country:US
Mailing Address - Phone:413-522-3679
Mailing Address - Fax:866-413-8174
Practice Address - Street 1:278 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3230
Practice Address - Country:US
Practice Address - Phone:413-522-3679
Practice Address - Fax:866-413-8174
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist