Provider Demographics
NPI:1497252100
Name:VELO-ZORZI PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:VELO-ZORZI PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:RED BIRD MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:VELO-ZORZI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:570-824-1413
Mailing Address - Street 1:65 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18701-3100
Mailing Address - Country:US
Mailing Address - Phone:570-824-1413
Mailing Address - Fax:570-824-1408
Practice Address - Street 1:65 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-3100
Practice Address - Country:US
Practice Address - Phone:570-824-1413
Practice Address - Fax:570-824-1408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017086103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty