Healthcare Provider Details

I. General information

NPI: 1407054059
Provider Name (Legal Business Name): DEBORAH KAY ZUNKE PCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 N COUNTY ROAD 25A
TROY OH
45373-1337
US

IV. Provider business mailing address

3130 N COUNTY ROAD 25A
TROY OH
45373-1337
US

V. Phone/Fax

Practice location:
  • Phone: 937-440-7001
  • Fax: 937-440-7076
Mailing address:
  • Phone: 937-440-7001
  • Fax: 937-440-7076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0002772
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0500384
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: