Healthcare Provider Details

I. General information

NPI: 1073644084
Provider Name (Legal Business Name): EDMOND STANLEY ZUROMSKI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: EDMOND STANLEY ZUROMSKI PH.D.

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 PLAINFIELD PIKE
FOSTER RI
02825-0007
US

IV. Provider business mailing address

54 PLAINFIELD PIKE P.O. BOX 7
FOSTER RI
02825-0007
US

V. Phone/Fax

Practice location:
  • Phone: 401-397-7666
  • Fax:
Mailing address:
  • Phone: 401-397-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS00509
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPS00509
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPS00509
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: