Healthcare Provider Details

I. General information

NPI: 1316460868
Provider Name (Legal Business Name): JOSEPH ZARLINO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 N SANDUSKY ST
DELAWARE OH
43015-1756
US

IV. Provider business mailing address

88 N SANDUSKY ST
DELAWARE OH
43015-1756
US

V. Phone/Fax

Practice location:
  • Phone: 740-203-3800
  • Fax: 740-203-3799
Mailing address:
  • Phone: 740-203-3800
  • Fax: 740-203-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.1700373
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2203232
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: