Healthcare Provider Details

I. General information

NPI: 1548175367
Provider Name (Legal Business Name): ABBY ZMOLEK M.ED., ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 E UNIVERSITY DR STE 230
TEMPE AZ
85288-8402
US

IV. Provider business mailing address

1130 E UNIVERSITY DR STE 230
TEMPE AZ
85288-8402
US

V. Phone/Fax

Practice location:
  • Phone: 480-727-2435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: