DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY M LAZAROFF, PH.D.

Active Sole Proprietor

DR. JERRY M LAZAROFF, PH.D. is a Clinical Psychologist healthcare provider located in MEDIA, Pennsylvania. NPI 1730169343 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MEDIA, PA

Registration Details

NPI Number
1730169343
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2006 (20.541458213381 yrs)
Last Updated
Jul 8, 2007
License
PS-002867-L (PA)
Sole Proprietor
Yes

Practice Information

Address
1029 N PROVIDENCE RD
MEDIA, PA, 190631404
Browse PA providers · Browse ZIP 19063
Phone
6105666633
Fax
6105666637
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in MEDIA, PA

Name Credential NPI
DR. RICHARD E CALHOUN PH.D. 1043209588
DR. SUSANNA ANGELICA LACK PSY.D. 1255311718
DR. JULIA L. MAYER PSY.D. 1245203413
DOMENICA M KNUDSEN 1336109230
MR. PATRICK J MCHUGH PHD 1780645747
DR. JOSEPH A MICUCCI PH.D., ABPP 1326098344
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.