Individual
MR. IVAN S ZOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3400 RUTHERFORD ST, HARRISBURG, PA 17111-1851
(717) 564-2203
(717) 909-5182
Mailing address
3400 RUTHERFORD ST, HARRISBURG, PA 17111-1851
(717) 564-2203
(717) 909-5182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007029
PA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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