Healthcare Provider Details
I. General information
NPI: 1629798731
Provider Name (Legal Business Name): ZAVROU PSYCHOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2325 ULMERTON RD STE 7A
CLEARWATER FL
33762-3362
US
IV. Provider business mailing address
1433 52ND AVE NE
SAINT PETERSBURG FL
33703-3222
US
V. Phone/Fax
- Phone: 727-231-1665
- Fax: 727-231-1665
- Phone: 727-415-5525
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SOPHIA
ZAVROU
Title or Position: OWNER & PRESIDENT
Credential: PSYD
Phone: 727-231-1665