Provider Demographics
NPI:1578590055
Name:ZOZUS, ROBERT THOMAS JR
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THOMAS
Last Name:ZOZUS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:THOMAS
Other - Last Name:ZOZUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:500 N DUKE ST
Mailing Address - Street 2:UNIT 54-301
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2071
Mailing Address - Country:US
Mailing Address - Phone:919-780-4379
Mailing Address - Fax:919-980-8164
Practice Address - Street 1:3500 WESTGATE DR
Practice Address - Street 2:SUITE 601
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2567
Practice Address - Country:US
Practice Address - Phone:919-780-4379
Practice Address - Fax:919-908-8164
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2576101Y00000X, 101YM0800X, 103T00000X, 103TC0700X, 103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis