Healthcare Provider Details

I. General information

NPI: 1588570139
Provider Name (Legal Business Name): GABRIELA ZUCCOLO CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WELLS ST
WESTERLY RI
02891-2934
US

IV. Provider business mailing address

5 PALOU DR
NORTH PROVIDENCE RI
02904-5362
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: