Provider Demographics
NPI:1285935296
Name:BARTLEY-ZUCCO, DEENA LEIGH (PHD, MSED)
Entity type:Individual
Prefix:DR
First Name:DEENA
Middle Name:LEIGH
Last Name:BARTLEY-ZUCCO
Suffix:
Gender:F
Credentials:PHD, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 HICKORY HILL LN
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-1930
Mailing Address - Country:US
Mailing Address - Phone:931-302-8234
Mailing Address - Fax:865-882-2170
Practice Address - Street 1:1004 HICKORY HILL LN
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-1930
Practice Address - Country:US
Practice Address - Phone:931-302-8234
Practice Address - Fax:865-882-2170
Is Sole Proprietor?:No
Enumeration Date:2010-11-07
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst