Mazeroff, Paul

Mazeroff, Paul is an individual health care provider with primary practice located at 625 W. Elm Avenue , Hanover PA 17331. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Mazeroff, Paul can be contacted via phone (717) 632-4900.

Contact Information

Primary practice address
625 W. Elm Avenue Hanover PA 17331
Fax: (717) 632-4313
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS008389L Pennsylvania

Profile Details

NPI number 1154413144
LBN Legal business name Mazeroff, Paul
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154413144 NPPES
Pennsylvania MEDICAID 1007446410021

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