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NPI Code Detail

MEDICARE: RYANNE ZAVACKY MS, SLP

MEDICARE: RYANNE ZAVACKY MS, SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist9001NC

General Provider Information

NPI Number : 1417277914
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYANNE ZAVACKY MS, SLP
Provider Business Mailing Address
First Line : 806 CASPIAN CT
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-6124
Country : US
Telephone Number : 910-742-4857
Fax Number :
Provider Business Practice Location Address
First Line : 806 CASPIAN CT
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-6124
Country : US
Telephone Number : 910-742-4857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2010
Last Update Date : 05/21/2026

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