Provider Demographics
NPI:1366155889
Name:ZVIRBLIS, JOSEPH LEONARD (PHD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LEONARD
Last Name:ZVIRBLIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 PLAINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1914
Mailing Address - Country:US
Mailing Address - Phone:973-214-9034
Mailing Address - Fax:
Practice Address - Street 1:55 NEWTON SPARTA RD STE 103104
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2772
Practice Address - Country:US
Practice Address - Phone:973-214-9034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC000885000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional