Provider Demographics
NPI:1093895831
Name:PLESA, ZUZANA (EDD)
Entity Type:Individual
Prefix:DR
First Name:ZUZANA
Middle Name:
Last Name:PLESA
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 GOLF COURSE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-1704
Mailing Address - Country:US
Mailing Address - Phone:850-729-3048
Mailing Address - Fax:850-729-3048
Practice Address - Street 1:536 GOLF COURSE DRIVE
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-1704
Practice Address - Country:US
Practice Address - Phone:850-729-3048
Practice Address - Fax:850-729-3048
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000309103TP0814X, 102L00000X
FLMT 779106H00000X
CAMFC 8726106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst