MEDICARE: KATHERINE ANDREA ZAMBRANA PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY12968	FL
2	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1811687809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANDREA ZAMBRANA PHD

Provider Business Mailing Address
First Line	:	7701 SW 62ND AVE STE 200
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4923
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 SW 62ND AVE STE 200
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4923
Country	:	US
Telephone Number	:	302-385-6696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2023
Last Update Date	:	12/29/2025

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