Basic Information
Provider Information
NPI: 1316460868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZARLINO
FirstName: JOSEPH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 88 N SANDUSKY ST
Address2:  
City: DELAWARE
State: OH
PostalCode: 430151756
CountryCode: US
TelephoneNumber: 7402033800
FaxNumber: 7402033799
Practice Location
Address1: 88 N SANDUSKY ST
Address2:  
City: DELAWARE
State: OH
PostalCode: 430151756
CountryCode: US
TelephoneNumber: 7402033800
FaxNumber: 7402033799
Other Information
ProviderEnumerationDate: 07/17/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XC.1700373OHY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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