Healthcare Provider Details

I. General information

NPI: 1073706594
Provider Name (Legal Business Name): VASILIKI ZAFIRIDOU LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MEDICAL PARK DR
HELENA MT
59601-4925
US

IV. Provider business mailing address

48 MEDICAL PARK DR
HELENA MT
59601-4925
US

V. Phone/Fax

Practice location:
  • Phone: 406-449-3880
  • Fax: 406-442-6935
Mailing address:
  • Phone: 406-449-3880
  • Fax: 406-442-6935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number802LCSW
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: