Individual
DR. RONALD RAYMOND ZELAZOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
315 SECOND AVENUE, STE 209, WARREN, PA 16365-2434
(814) 726-9798
Mailing address
315 SECOND AVENUE, STE 209, WARREN, PA 16365-2434
(814) 726-9798
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004379L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P023804
TRICARE
PA
Enumeration date
05/09/2007
Last updated
07/08/2007
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