Healthcare Provider Details

I. General information

NPI: 1003240755
Provider Name (Legal Business Name): DANIELLE R ZIPAY LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLE R MATZKA

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 WALTON BLVD SUITE 218
ROCHESTER HILLS MI
48309-1768
US

IV. Provider business mailing address

36030 SAINT CLAIR DR
NEW BALTIMORE MI
48047-5521
US

V. Phone/Fax

Practice location:
  • Phone: 810-278-2620
  • Fax:
Mailing address:
  • Phone: 810-278-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401013795
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: