JACQUELYN M ZAVODNICK MD NPI 1740218510

NPI Information

NPI: 1740218510
Provider Name: JACQUELYN M ZAVODNICK, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
1041 W BRIDGE ST
STES 1 & 2, DEVEREUX BENETO CTR COMM SVCS DEVEREUX
PHOENIXVILLE, PA
ZIP 19460
Phone: (610) 933-8110
Get Directions

Jacquelyn M Zavodnick, MD is a child and adolescent psychiatry psychiatry neurology in Phoenixville, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Jacquelyn M Zavodnick, MD NPI is 1740218510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1041 W BRIDGE ST
STES 1 & 2, DEVEREUX BENETO CTR COMM SVCS DEVEREUX
PHOENIXVILLE, PA
ZIP 19460
Phone: (610) 933-8110
Fax: (610) 296-5866

The enumeration date for this NPI number is 6/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD015911E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B34301	MEDICARE UPIN
2	0005544390339	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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