Provider Demographics
NPI:1194446005
Name:MAY, ZACHARY (CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:
Last Name:MAY
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 VERMONT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-1059
Mailing Address - Country:US
Mailing Address - Phone:518-526-8178
Mailing Address - Fax:
Practice Address - Street 1:2124 VERMONT VIEW DR
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-1059
Practice Address - Country:US
Practice Address - Phone:518-526-8178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031447235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty