Deena Leigh Bartley-Zucco, PH.D., M.S.ED.

Individual provider Active NPI Developmental Therapist · Hermitage, TN

NPI 1285935296 · NPPES record last updated Nov 8, 2010

Key facts

NPI
1285935296
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
1004 Hickory Hill LN
Hermitage, TN 37076-1930
Phone
(931) 302-8234
Fax
(865) 882-2170
NPI assigned
Nov 7, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

1004 Hickory Hill LN
Hermitage, TN 37076-1930

Mailing address

1004 Hickory Hill LN
Hermitage, TN 37076-1930
Phone (931) 302-8234

Other providers in Hermitage, TN

All providers in Hermitage, TN · Developmental Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.