Provider Demographics
NPI:1467794479
Name:BARBARA ZIMMERMAN-SLOVAK
Entity Type:Organization
Organization Name:BARBARA ZIMMERMAN-SLOVAK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN-SLOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-896-7228
Mailing Address - Street 1:349 LANCASTER AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1500
Mailing Address - Country:US
Mailing Address - Phone:610-896-7228
Mailing Address - Fax:
Practice Address - Street 1:349 LANCASTER AVE
Practice Address - Street 2:STE 104
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1500
Practice Address - Country:US
Practice Address - Phone:610-896-7228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005086L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty