Healthcare Provider Details

I. General information

NPI: 1770168015
Provider Name (Legal Business Name): KAREN ANN ZURLO PHD, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 03/17/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 WAVERLY CIR
PHOENIXVILLE PA
19460-2526
US

IV. Provider business mailing address

119 WAVERLY CIR
PHOENIXVILLE PA
19460-2526
US

V. Phone/Fax

Practice location:
  • Phone: 484-431-7429
  • Fax:
Mailing address:
  • Phone: 484-431-7429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number137816
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: