Healthcare Provider Details

I. General information

NPI: 1932420106
Provider Name (Legal Business Name): LAURA AILEEN ZIPRIS PSY.D., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 07/05/2011
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 NumberMH-9456
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number016131-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS866
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: