Provider Demographics
NPI:1003240755
Name:ZIPAY, DANIELLE R (LLPC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:R
Last Name:ZIPAY
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:R
Other - Last Name:MATZKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36030 SAINT CLAIR DR
Mailing Address - Street 2:
Mailing Address - City:NEW BALTIMORE
Mailing Address - State:MI
Mailing Address - Zip Code:48047-5521
Mailing Address - Country:US
Mailing Address - Phone:810-278-2620
Mailing Address - Fax:
Practice Address - Street 1:1460 WALTON BLVD
Practice Address - Street 2:SUITE 218
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1768
Practice Address - Country:US
Practice Address - Phone:810-278-2620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013795101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional