Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI Number | 1245500727 |
| LBN Legal business name | ZOOM COUNSELING AND REHAB INCORPORATED |
| Authorized official | GEORGE NEBE - (ADMINISTRACTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/30/2011 |
| Last updated | 03/29/2012 - About 14 years ago |
| Identifiers | n/a |
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