Provider Demographics
NPI:1639101975
Name:ZAHAROFF, AVRIL DAWN (PHD)
Entity Type:Individual
Prefix:DR
First Name:AVRIL
Middle Name:DAWN
Last Name:ZAHAROFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:PA
Mailing Address - Zip Code:15345-0172
Mailing Address - Country:US
Mailing Address - Phone:724-267-3603
Mailing Address - Fax:724-267-3603
Practice Address - Street 1:4150 WASHINGTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2534
Practice Address - Country:US
Practice Address - Phone:724-941-6640
Practice Address - Fax:724-941-6640
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016048103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA540593OtherVALUE OPTIONS
PAZA1909520OtherHIGHMARK