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Individual

KIMBERLY A. ZAJAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP/A

Contact information

Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0750
Mailing address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0750

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
605
MA
235Z00000X
Speech-Language Pathologist
Primary
4685
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014867
NEIGHBORHOOD HEALTH PLAN
MA
05
0310191
MA
01
1093785073
FALLON COMMUNITY HEALTH PLAN
01
7542869
AETNA
01
PJ198
HARVARD PILGRIM
MA
01
SP0085
BLUE CROSS
MA
Enumeration date
01/24/2006
Last updated
10/05/2009
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