Provider Demographics
NPI:1396171039
Name:ZOMBIK, NATALIE A (MA INTERN)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:ZOMBIK
Suffix:
Gender:F
Credentials:MA INTERN
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:A
Other - Last Name:REHOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 WESTERN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-9782
Mailing Address - Country:US
Mailing Address - Phone:413-533-4131
Mailing Address - Fax:
Practice Address - Street 1:103 MYRON ST
Practice Address - Street 2:SUITE A
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1598
Practice Address - Country:US
Practice Address - Phone:413-592-1980
Practice Address - Fax:413-439-0100
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health