Healthcare Provider Details

I. General information

NPI: 1730242744
Provider Name (Legal Business Name): ARNOLD ZILBERKANT PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 10/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 GWINNETT DR
LAWRENCEVILLE GA
30045-8444
US

IV. Provider business mailing address

3405 DEER VALLEY DR
ALPHARETTA GA
30004-8963
US

V. Phone/Fax

Practice location:
  • Phone: 770-963-8141
  • Fax:
Mailing address:
  • Phone: 770-569-5936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY003263
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: