| Doctor Name: | MS. ZIONA BROTLEIT |
| NPI Number: | 1003011081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MCAT, LICENSED PSYCH |
| License Number: | PS007361L |
| Business Practice Address: | 3005 Brodhead Rd Suite 104 Bethlehem, PA - 180209201 |
| Business Phone Number: | 6108664661 |
| Business Fax Number: | |
| Mailing Address: | 408 2nd Ave, BETHLEHEM |
| State: | PA |
| Postal Code: | 180185617 |
| Phone Number: | 6108672881 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS007361L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |