Healthcare Provider Details

I. General information

NPI: 1215484886
Provider Name (Legal Business Name): DR. BROOKE ZUMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 STONE STACK DR
BETHLEHEM PA
18015-5053
US

IV. Provider business mailing address

1031 STONE STACK DR
BETHLEHEM PA
18015-5053
US

V. Phone/Fax

Practice location:
  • Phone: 610-657-5821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS017981
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: