Healthcare Provider Details

I. General information

NPI: 1891601647
Provider Name (Legal Business Name): ZOE EMMA ZABORNY PSYS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3799 W 33RD ST
CLEVELAND OH
44109-2593
US

IV. Provider business mailing address

2068 MORRISON AVE
LAKEWOOD OH
44107-5720
US

V. Phone/Fax

Practice location:
  • Phone: 216-906-3069
  • Fax:
Mailing address:
  • Phone: 216-906-3069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00176
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: