Provider Demographics
NPI:1629348339
Name:ZAID, SAMANTHA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:
Last Name:ZAID
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 BLUE LAGOON DR STE 440
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2032
Mailing Address - Country:US
Mailing Address - Phone:305-929-0631
Mailing Address - Fax:
Practice Address - Street 1:5805 BLUE LAGOON DR STE 440
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2032
Practice Address - Country:US
Practice Address - Phone:305-929-0631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2022-04-26
Deactivation Date:2017-12-27
Deactivation Code:
Reactivation Date:2020-02-17
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist