Provider Demographics
NPI:1548558315
Name:LAURA A. ZIPRIS, PA
Entity Type:Organization
Organization Name:LAURA A. ZIPRIS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:AILEEN
Authorized Official - Last Name:ZIPRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMHC, LSP
Authorized Official - Phone:561-558-7815
Mailing Address - Street 1:5300 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 604
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8165
Mailing Address - Country:US
Mailing Address - Phone:561-558-7815
Mailing Address - Fax:561-637-4446
Practice Address - Street 1:5300 W ATLANTIC AVE
Practice Address - Street 2:SUITE 604
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8165
Practice Address - Country:US
Practice Address - Phone:561-558-7815
Practice Address - Fax:561-637-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9456101YM0800X
NY0161311103TB0200X
FLSS866103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty