Provider Demographics
NPI:1558740381
Name:ZBUR, SAMANTHA LINDSEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LINDSEY
Last Name:ZBUR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-4228
Mailing Address - Country:US
Mailing Address - Phone:724-762-2682
Mailing Address - Fax:
Practice Address - Street 1:1403 GREENBRIER PKWY STE 215
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0608
Practice Address - Country:US
Practice Address - Phone:757-410-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0810005775103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program