Provider Demographics
NPI:1184664047
Name:ZINKHAM, VERONICA A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:A
Last Name:ZINKHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 NORWEGIAN SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-9309
Mailing Address - Country:US
Mailing Address - Phone:724-742-0496
Mailing Address - Fax:
Practice Address - Street 1:6200 BROOKTREE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9299
Practice Address - Country:US
Practice Address - Phone:724-940-7649
Practice Address - Fax:724-940-7659
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional