Organization
ZETEO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE YOCUM PSYD (PRESIDENT)
(215) 402-7149
Entity
Organization
Contact information
Practice address
5049 SWAMP RD, SUITE 301, FOUNTAINVILLE, PA 18923-9659
(215) 402-7149
Mailing address
PO BOX 111, FOUNTAINVILLE, PA 18923-0111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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