Individual
STEFANIE REGINA ZUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 STEEPLE WAY, DECATUR, GA 30034-5476
(404) 964-7966
Mailing address
3391 STEEPLE WAY, DECATUR, GA 30034-5476
(404) 964-7966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17351
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-4145253
IRS
GA
Enumeration date
08/31/2022
Last updated
08/31/2022
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