Healthcare Provider Details

I. General information

NPI: 1487574893
Provider Name (Legal Business Name): CLAUDIA VANZANDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1349 E STROOP RD
DAYTON OH
45429-4925
US

IV. Provider business mailing address

1211 FAR HILLS AVE APT 206
OAKWOOD OH
45419-3121
US

V. Phone/Fax

Practice location:
  • Phone: 937-293-8300
  • Fax:
Mailing address:
  • Phone: 937-789-7625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613933
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: