Most Relevant Information
Provider Data
| NPI Number: | 1003011081 |
| Provider Name: | ZIONA BROTLEIT MCAT, LICENSED PSYCH |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PS007361L |
Most Important Dates
| Enumeration Date: | 06/19/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3005 BRODHEAD RD
SUITE 104
BETHLEHEM
PA
180209201
Practice Location Phone/Fax
| Phone: | 6108664661 |
| Fax: |
Provider Mailing Location
408 2ND AVE
BETHLEHEM
PA
180185617
Provider Mailing Phone/Fax
| Phone: | 6108672881 |
| Fax: |