| Doctor Name: | ZACHARY EDWIN PILCZUK |
| NPI Number: | 1952503641 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, CCC-SLP |
| License Number: | 5005875-4102 |
| Business Practice Address: | 2900 Charlevoix Dr Se Ste 200 Grand Rapids, MI - 495467085 |
| Business Phone Number: | 8006341077 |
| Business Fax Number: | |
| Mailing Address: | 3146 Vermont Ave Sw, GRANDVILLE |
| State: | MI |
| Postal Code: | 494181676 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5005875-4102 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | UT |
| 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 |