Provider Demographics
NPI:1538047618
Name:MORALES, ZULISHA (LAAT, CAT-LP, ATR-P)
Entity type:Individual
Prefix:
First Name:ZULISHA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LAAT, CAT-LP, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5908
Mailing Address - Country:US
Mailing Address - Phone:201-456-0796
Mailing Address - Fax:201-456-0796
Practice Address - Street 1:510 COURTLANDT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5032
Practice Address - Country:US
Practice Address - Phone:718-665-2456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16LA00004200221700000X
NC24-347221700000X
NYP129298221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist