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Individual

DR. JEROME ZAKE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3454 OAK ALLEY CT, SUITE 305, TOLEDO, OH 43606-1306
(419) 534-2468
Mailing address
3454 OAK ALLEY CT, SUITE 305, TOLEDO, OH 43606-1306
(419) 534-2468

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4135
OH
103TC2200X
Clinical Child & Adolescent Psychologist
4135
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0759460
OH
Enumeration date
03/24/2006
Last updated
09/11/2025
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