Provider Demographics
NPI:1578749230
Name:ZUBIN J. MISTRY & ASSOCIATES
Entity Type:Organization
Organization Name:ZUBIN J. MISTRY & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZUBIN
Authorized Official - Middle Name:JIMMY
Authorized Official - Last Name:MISTRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-380-0400
Mailing Address - Street 1:3536 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3454
Mailing Address - Country:US
Mailing Address - Phone:419-380-0400
Mailing Address - Fax:419-380-9106
Practice Address - Street 1:3536 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3454
Practice Address - Country:US
Practice Address - Phone:419-380-0400
Practice Address - Fax:419-380-9106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-12
Last Update Date:2012-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5423103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty