MEDICARE: DENISE ZWEIG CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	28415	CA

General Provider Information

NPI Number	:	1073123188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE ZWEIG CCC-SLP

Provider Business Mailing Address
First Line	:	6609 BUTTONWOOD AVE
Second Line	:
City	:	OAK PARK
State	:	CA
Zip	:	91377-1326
Country	:	US
Telephone Number	:	310-600-7404
Fax Number	:

Provider Business Practice Location Address
First Line	:	5627 KANAN RD STE 184
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-3358
Country	:	US
Telephone Number	:	805-262-7809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	08/04/2020

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Directions to “ DENISE ZWEIG CCC-SLP” Practice Location

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