Healthcare Provider Details

I. General information

NPI: 1154597052
Provider Name (Legal Business Name): DEBORAH ANN ZUCKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8158 E 5TH AVE SUITE 280
DENVER CO
80230-6444
US

IV. Provider business mailing address

8158 E 5TH AVE SUITE 280
DENVER CO
80230-6444
US

V. Phone/Fax

Practice location:
  • Phone: 303-993-9894
  • Fax:
Mailing address:
  • Phone: 303-993-9894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number845
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: