Provider Demographics
NPI:1124290374
Name:ZEGAR, RENEE I
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:I
Last Name:ZEGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:876 PARKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1243
Mailing Address - Country:US
Mailing Address - Phone:610-275-2782
Mailing Address - Fax:610-275-2783
Practice Address - Street 1:876 PARKWOOD RD
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1243
Practice Address - Country:US
Practice Address - Phone:610-275-2782
Practice Address - Fax:610-275-2783
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006274L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist