Provider Demographics
NPI:1245385871
Name:ZANGARI, MARY EVE (PHD, LMFT, PMHCNS BC)
Entity Type:Individual
Prefix:DR
First Name:MARY EVE
Middle Name:
Last Name:ZANGARI
Suffix:
Gender:F
Credentials:PHD, LMFT, PMHCNS BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 FARLEY CIR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9252
Mailing Address - Country:US
Mailing Address - Phone:570-524-0909
Mailing Address - Fax:570-524-0956
Practice Address - Street 1:115 FARLEY CIR
Practice Address - Street 2:SUITE 105
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9252
Practice Address - Country:US
Practice Address - Phone:570-524-0909
Practice Address - Fax:570-524-0956
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000471106H00000X
PARN182004L364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health