| Doctor Name: | MRS. MAYBETTE ZUPKO WALDRON |
| NPI Number: | 1093979791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC SLP |
| License Number: | 000828 |
| Business Practice Address: | 2228 Black Rock Turnpike Suite 201 Fairfield, CT - 06825 |
| Business Phone Number: | 2039084433 |
| Business Fax Number: | 2089084449 |
| Mailing Address: | 2228 Black Rock Turnpike, Suite 201 FAIRFIELD |
| State: | CT |
| Postal Code: | 06825 |
| Phone Number: | 2039084433 |
| Fax Number: | 2039084449 |
| NPI Enumeration Date: | 07/11/2008 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 000828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |