Individual
MR. BRADLEY MARK ZAMBANINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2035 2ND ST NW, GL03, WASHINGTON, DC 20001-5604
(202) 421-6604
Mailing address
2035 2ND ST. NW, #GL03, WASHINGTON, DC 20001
(202) 421-6604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
05536
MD
235Z00000X
Speech-Language Pathologist
11387
CA
235Z00000X
Speech-Language Pathologist
2202006254
VA
235Z00000X
Speech-Language Pathologist
Primary
SLP000118
DC
Other
Enumeration date
04/13/2007
Last updated
06/06/2011
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