Healthcare Provider Details

I. General information

NPI: 1326877580
Provider Name (Legal Business Name): ANNE ZHOU PHD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2024
Last Update Date: 07/27/2024
Certification Date: 07/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 NW 16TH AVE UNIT 172
GAINESVILLE FL
32601-4012
US

IV. Provider business mailing address

806 NW 16TH AVE UNIT 172
GAINESVILLE FL
32601-4012
US

V. Phone/Fax

Practice location:
  • Phone: 352-448-8531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number12252
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: