Provider Demographics
NPI:1790070753
Name:MUSHLIN, JAMIE ZUCKER (MS, CGC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ZUCKER
Last Name:MUSHLIN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LANCASTER AVE
Mailing Address - Street 2:1 MSB
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:484-476-8150
Mailing Address - Fax:484-476-8151
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:1 MSB
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:484-476-8150
Practice Address - Fax:484-476-8151
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS