Healthcare Provider Details
I. General information
NPI: 1376662379
Provider Name (Legal Business Name): MICHELE LYNNE ZAPARANICK-BROWN M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2007
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 WOOD DUCK DR
FRANKFORT KY
40601-8653
US
IV. Provider business mailing address
101 WOOD DUCK DR
FRANKFORT KY
40601-8653
US
V. Phone/Fax
- Phone: 502-226-0087
- Fax: 502-695-9120
- Phone: 502-226-0087
- Fax: 502-695-9120
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 1805 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: