Healthcare Provider Details

I. General information

NPI: 1225378284
Provider Name (Legal Business Name): BARBARA C ZHUCHKAN M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N GEORGIA AVE
HOWEY IN THE HILLS FL
34737-3122
US

IV. Provider business mailing address

16021 ST CLAIR ST
CLERMONT FL
34714-6517
US

V. Phone/Fax

Practice location:
  • Phone: 352-253-6790
  • Fax:
Mailing address:
  • Phone: 315-632-2798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number023484-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 12863
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: