Provider Demographics
NPI:1801560263
Name:ZUCH, CLAIRE M
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:M
Last Name:ZUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 FOREST AVE UNIT 1205
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1455
Mailing Address - Country:US
Mailing Address - Phone:417-224-6335
Mailing Address - Fax:
Practice Address - Street 1:150 FOREST AVE UNIT 1205
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1455
Practice Address - Country:US
Practice Address - Phone:417-224-6335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst