Provider Demographics
NPI:1023231875
Name:ZEITLIN, ROBERT HARRY (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HARRY
Last Name:ZEITLIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 COULTER AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2416
Mailing Address - Country:US
Mailing Address - Phone:610-999-2659
Mailing Address - Fax:610-717-1709
Practice Address - Street 1:133 COULTER AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2416
Practice Address - Country:US
Practice Address - Phone:610-999-2659
Practice Address - Fax:610-717-1709
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015009103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical