Healthcare Provider Details

I. General information

NPI: 1952729725
Provider Name (Legal Business Name): BARRY ZAKIREH PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 ARCH ST FL 8
PHILADELPHIA PA
19102-1508
US

IV. Provider business mailing address

9 DURHAM CT
VOORHEES NJ
08043-2951
US

V. Phone/Fax

Practice location:
  • Phone: 215-370-2179
  • Fax: 833-357-2158
Mailing address:
  • Phone: 267-496-9588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number009293-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: