Individual
PHYLLIS MAZURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-3970
Mailing address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-3970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144-0126030
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03954
—
NY
Enumeration date
11/09/2011
Last updated
03/26/2017
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