Provider Demographics
NPI:1063644946
Name:ZERA EDUCATIONAL & PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:ZERA EDUCATIONAL & PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOYA
Authorized Official - Middle Name:FOSTER
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-794-1455
Mailing Address - Street 1:5007 SOUTHPARK DR
Mailing Address - Street 2:SUITE 200-C
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7739
Mailing Address - Country:US
Mailing Address - Phone:919-794-1455
Mailing Address - Fax:
Practice Address - Street 1:5007 SOUTHPARK DR
Practice Address - Street 2:SUITE 200-C
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7739
Practice Address - Country:US
Practice Address - Phone:919-794-1455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3349103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty