Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PS00509 | RI |
N | 103T00000X | Psychologist | PS00509 | RI |
N | 103TA0700X | Adult Development & Aging Psychologist | PS00509 | RI |
N | 103TM1800X | Intellectual & Developmental Disabilities | PS00509 | RI |
NPI | 1073644084 |
---|---|
Provider Name | Dr. Edmond Stanley Zuromski |
First Address | Foster, RI 02825-0007 |
Second Address | Foster, RI 02825-0007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |