Healthcare Provider Details

I. General information

NPI: 1497686257
Provider Name (Legal Business Name): SAVANNAH ZUPAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6753 STATE RD
PARMA OH
44134-4517
US

IV. Provider business mailing address

PO BOX 72767
CLEVELAND OH
44192-0004
US

V. Phone/Fax

Practice location:
  • Phone: 216-391-2030
  • Fax: 440-843-5588
Mailing address:
  • Phone: 800-860-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2607515-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: