MEDICARE: AMANDA JANE ZALUCKI MA, 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	7152001132	MI

General Provider Information

NPI Number	:	1326831264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA JANE ZALUCKI MA, CCC-SLP

Provider Business Mailing Address
First Line	:	7801 30 MILE RD
Second Line	:
City	:	WASHINGTON
State	:	MI
Zip	:	48095-1805
Country	:	US
Telephone Number	:	586-265-4194
Fax Number	:

Provider Business Practice Location Address
First Line	:	36358 GARFIELD RD STE 2
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035-1152
Country	:	US
Telephone Number	:	586-221-0705
Fax Number	:

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

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	03/11/2026

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Directions to “ AMANDA JANE ZALUCKI MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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