| Doctor Name: | MR. BRADLEY MARK ZAMBANINI |
| NPI Number: | 1184848566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 11387 |
| Business Practice Address: | 2035 2nd St Nw Gl03 Washington, DC - 200015604 |
| Business Phone Number: | 2024216604 |
| Business Fax Number: | |
| Mailing Address: | 2035 2nd St. Nw, #gl03 WASHINGTON |
| State: | DC |
| Postal Code: | 20001 |
| Phone Number: | 2024216604 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 11387 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |