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NPI Code Detail

MEDICARE: BRADLEY MATTHEW ZURLA LCSW, MSW

MEDICARE:   BRADLEY MATTHEW ZURLA  LCSW, MSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1669831434
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY MATTHEW ZURLA LCSW, MSW
Provider Business Mailing Address
First Line : 323 LAMP POST LN
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-1458
Country : US
Telephone Number : 717-559-3323
Fax Number :
Provider Business Practice Location Address
First Line : 100 WINDING CREEK BLVD # 3
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-1883
Country : US
Telephone Number : 717-590-7283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2016
Last Update Date : 12/03/2024

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