Doctor Name: | DR. ROBERT HARRY ZEITLIN |
NPI Number: | 1023231875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PS015009 |
Business Practice Address: | 133 Coulter Ave Suite 1 Ardmore, PA - 190032416 |
Business Phone Number: | 6109992659 |
Business Fax Number: | 6107171709 |
Mailing Address: | 133 Coulter Ave, Suite 1 ARDMORE |
State: | PA |
Postal Code: | 190032416 |
Phone Number: | 6109992659 |
Fax Number: | 6107171709 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS015009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |