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NPI Code Detail

MEDICARE: DR. WILLIAM ALLEN ZORN PHD

MEDICARE: DR. WILLIAM ALLEN ZORN PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103T00000XPsychologist

General Provider Information

NPI Number : 1609024637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM ALLEN ZORN PHD
Provider Business Mailing Address
First Line : 2838 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1722
Country : US
Telephone Number : 716-836-5752
Fax Number :
Provider Business Practice Location Address
First Line : 2838 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1722
Country : US
Telephone Number : 716-836-5752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/03/2008

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Directions to “ DR. WILLIAM ALLEN ZORN PHD” Practice Location

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