Healthcare Provider Details

I. General information

NPI: 1902050586
Provider Name (Legal Business Name): JUDITH ELIZABETH ZAHER LPCC, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 MCKINLEY AVE NW
CANTON OH
44703-2463
US

IV. Provider business mailing address

2421 13TH ST NW
CANTON OH
44708-3116
US

V. Phone/Fax

Practice location:
  • Phone: 330-452-9812
  • Fax: 330-430-1288
Mailing address:
  • Phone: 330-588-2204
  • Fax: 330-454-4357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0003786
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS0014273
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: