Mazurski, Phyllis

Mazurski, Phyllis is an individual health care provider with primary practice located at 790 College Pkwy , Colchester VT 05446-3007. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mazurski, Phyllis can be contacted via phone (802) 847-3970.

Contact Information

Primary practice address
790 College Pkwy Colchester VT 05446-3007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 144-0126030 Vermont

Profile Details

NPI number 1356628093
LBN Legal business name Mazurski, Phyllis
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2011
Last updated Mar 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356628093 NPPES
New York MEDICAID 03954

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