Provider Demographics
NPI:1891367793
Name:JUNO MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:JUNO MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGRABBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-879-4743
Mailing Address - Street 1:1062 E LANCASTER AVE STE 13A
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1565
Mailing Address - Country:US
Mailing Address - Phone:610-879-4743
Mailing Address - Fax:
Practice Address - Street 1:1062 E LANCASTER AVE STE 13A
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1565
Practice Address - Country:US
Practice Address - Phone:610-879-4743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty