Provider Demographics
NPI:1962408609
Name:ZAVALA, JORGE SPENCER (AUD)
Entity type:Individual
Prefix:MR
First Name:JORGE
Middle Name:SPENCER
Last Name:ZAVALA
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 JENIFER RD
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1021
Mailing Address - Country:US
Mailing Address - Phone:646-351-3686
Mailing Address - Fax:610-277-8255
Practice Address - Street 1:710 E JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3110
Practice Address - Country:US
Practice Address - Phone:610-277-3336
Practice Address - Fax:610-277-8255
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006195231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist