Jerry M Lazaroff is a Clinical in Media, Pennsylvania. Jerry M Lazaroff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry M Lazaroff is 1730169343. The last update date is 2007-07-08.
Jerry M Lazaroff's current location address is 1029 N Providence Rd, Media, Pennsylvania. You can contact this provider via phone number 6105666633 and fax number 6105666637. The mailing address for Jerry M Lazaroff is 1029 N Providence Rd, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry M Lazaroff |
|---|---|
| Address | 1029 N Providence Rd, Media, Pennsylvania |
| Phone Number | 6105666633 |
| Fax Number | 6105666637 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1730169343 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1029 N Providence Rd |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190631404 |
| Phone Number | 6105666633 |
| Fax Number | 6105666637 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS-002867-L |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LA1155 | PA BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry M Lazaroff by the Centers for Medicare & Medicaid Services?
The Jerry M Lazaroff has been assigned the NPI (National Provider Identifier) 1730169343 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerry M Lazaroff's facilities are geographically located?
The facilities of Jerry M Lazaroff are physically situated at the following location: 1029 N Providence Rd, Media, PA, 190631404.
What is Jerry M Lazaroff's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry M Lazaroff's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When was the Jerry M Lazaroff's 1730169343 issued?
The Jerry M Lazaroff's 1730169343 was issued on 2006-01-19.
As of what date was the information pertaining to Jerry M Lazaroff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry M Lazaroff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY