Healthcare Provider Details

I. General information

NPI: 1861203226
Provider Name (Legal Business Name): DEBORAH ZOLLO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MADISON AVE
MANALAPAN NJ
07726-9591
US

IV. Provider business mailing address

147 CHESTNUT WAY
MANALAPAN NJ
07726-3842
US

V. Phone/Fax

Practice location:
  • Phone: 732-351-4333
  • Fax:
Mailing address:
  • Phone: 732-567-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37F100235500
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: