Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jerry M Lazaroff, PHD

Individual provider Clinical Psychologist · NPI 1730169343

Dr. Jerry M Lazaroff, PHD is a Clinical Psychologist in Media, Pennsylvania. Qualified in 1977, 49 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
49
Licensed in
PA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1029 N Providence Rd
Media, PA 19063-1404
Phone: (610) 566-6633
Fax: (610) 566-6637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS-002867-L (PA)

Record details

NPI number1730169343
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 19, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Media