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NPI Code Detail

MEDICARE: DR. LAUREN ZUCCARO PH.D.

MEDICARE: DR. LAUREN ZUCCARO PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool PsychologistOH3151595OH
2103TS0200XSchool PsychologistSP00675OH
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1326441494
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN ZUCCARO PH.D.
Provider Business Mailing Address
First Line : 431 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-5533
Country : US
Telephone Number : 614-487-8758
Fax Number :
Provider Business Practice Location Address
First Line : 431 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-5533
Country : US
Telephone Number : 614-487-8758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2014
Last Update Date : 06/07/2022

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