| Doctor Name: | CAYLA ZUKOWSKI |
| NPI Number: | 1689954430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | |
| Business Practice Address: | 1011 Berk Rd Leesport, PA - 195338705 |
| Business Phone Number: | 6103764841 |
| Business Fax Number: | |
| Mailing Address: | 1011 Berk Rd, LEESPORT |
| State: | PA |
| Postal Code: | 195338705 |
| Phone Number: | 6103764841 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355A2700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Audiology Assistant |
| Taxonomy Definition: | |