Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PS003365L | PA |
N | 103T00000X | Psychologist | PS003365L | PA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PS003365L | PA |
NPI | 1013048743 |
---|---|
Provider Name | Dr. Paul J Zumoff |
First Address | Huntingdon Valley, PA 19006-2405 |
Second Address | Huntingdon Valley, PA 19006-2405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 08/07/2007 |