Healthcare Provider Details

I. General information

NPI: 1194906453
Provider Name (Legal Business Name): ROBERT R ZINN M.A.,L.P.C.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LURAY DR
WINTERSVILLE OH
43953-3972
US

IV. Provider business mailing address

3200 JOHNSON RD
STEUBENVILLE OH
43952-2363
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-1439
  • Fax:
Mailing address:
  • Phone: 740-264-7751
  • Fax: 740-264-2422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE0002754
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: