Provider Demographics
NPI:1326831264
Name:ZALUCKI, AMANDA JANE (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JANE
Last Name:ZALUCKI
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 30 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095-1805
Mailing Address - Country:US
Mailing Address - Phone:586-265-4194
Mailing Address - Fax:
Practice Address - Street 1:36358 GARFIELD RD STE 2
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-1152
Practice Address - Country:US
Practice Address - Phone:586-221-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7152001132235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist