Provider Demographics
NPI:1043666456
Name:ZUCKER, BRITTANY SLOANE (MS CCC-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SLOANE
Last Name:ZUCKER
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2827
Mailing Address - Country:US
Mailing Address - Phone:516-713-9422
Mailing Address - Fax:
Practice Address - Street 1:37 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2827
Practice Address - Country:US
Practice Address - Phone:516-713-9422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0248441235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist