Provider Demographics
NPI:1932268489
Name:ZUCH, ELIZABETH BERMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BERMAN
Last Name:ZUCH
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 1:46 MANSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-4428
Mailing Address - Country:US
Mailing Address - Phone:914-948-1183
Mailing Address - Fax:914-428-6591
Practice Address - Street 1:120 LEFURGY AVE
Practice Address - Street 2:HILLSIDE ELEMENTARY SCHOOL
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706
Practice Address - Country:US
Practice Address - Phone:914-478-6282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010119103TC2200X
NY010119-1103TS0200X, 251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No251300000XAgenciesLocal Education Agency (LEA)