National Provider Identifier Database

JERRY M LAZAROFF, PhD – NPI #1730169343
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JERRY M LAZAROFF, PhD
1029 N PROVIDENCE RD
MEDIA, PA19063-1404
Phone: 610-566-6633
Fax: 610-566-6637
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for JERRY M LAZAROFF

NPI Number 1730169343
Credentials PhD
Entity Individual
Enumeration date 01/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: PS-002867-L
  • Other: LA1155 PA BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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