Healthcare Provider Details

I. General information

NPI: 1548558315
Provider Name (Legal Business Name): LAURA A. ZIPRIS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 07/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 W ATLANTIC AVE SUITE 604
DELRAY BEACH FL
33484-8165
US

IV. Provider business mailing address

5300 W ATLANTIC AVE SUITE 604
DELRAY BEACH FL
33484-8165
US

V. Phone/Fax

Practice location:
  • Phone: 561-558-7815
  • Fax: 561-637-4446
Mailing address:
  • Phone: 561-558-7815
  • Fax: 561-637-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9456
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number0161311
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS866
License Number StateFL

VIII. Authorized Official

Name: DR. LAURA AILEEN ZIPRIS
Title or Position: PRESIDENT
Credential: PSY.D., LMHC, LSP
Phone: 561-558-7815