Zajac, Kimberly A.

Zajac, Kimberly A. is an individual health care provider with primary practice located at 1250 Hancock St , Quincy MA 02169-4339. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Zajac, Kimberly A. can be contacted via phone (617) 774-0750.

Contact Information

Primary practice address
1250 Hancock St Quincy MA 02169-4339
Phone: (617) 774-0750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4685 Massachusetts
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 605 Massachusetts

Profile Details

NPI number 1093785073
LBN Legal business name Zajac, Kimberly A.
Credentials CCC-SLP/A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 5th, 2009 - about 17 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 1093785073 NPPES
Massachusetts MEDICAID 0310191
Massachusetts Other 7542869
Massachusetts Other PJ198
Massachusetts Other 0014867
Massachusetts Other 1093785073
Massachusetts Other SP0085

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