Doctor Name: | MRS. KIMBERLY GRACE ZAHLAWAY |
NPI Number: | 1083782320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW MSW |
License Number: | 110590 |
Business Practice Address: | 237 W Lancaster Ave Devon, PA - 193331592 |
Business Phone Number: | 4843213034 |
Business Fax Number: | |
Mailing Address: | Po Box 169, BERWYN |
State: | PA |
Postal Code: | 193120169 |
Phone Number: | 4843213034 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |