Provider Demographics
NPI:1811270804
Name:VELO-ZORZI, MEGAN ANNE (PSYD, MED)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ANNE
Last Name:VELO-ZORZI
Suffix:
Gender:F
Credentials:PSYD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:570-474-6428
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:570-474-6428
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017086103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical