MEDICARE: CLAUDIA A ZSIGMOND PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PY7297	FL

General Provider Information

NPI Number	:	1801848932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA A ZSIGMOND PSY.D.

Provider Business Mailing Address
First Line	:	325 WAYMONT CT
Second Line	:	SUITE 111
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3572
Country	:	US
Telephone Number	:	800-818-1351
Fax Number	:	239-425-2756

Provider Business Practice Location Address
First Line	:	8359 BEACON BLVD
Second Line	:	SUITE 116
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3048
Country	:	US
Telephone Number	:	800-818-1351
Fax Number	:	239-425-2756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/20/2012

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