Provider Demographics
NPI:1851968051
Name:ESTEVES, ZAYMARA (PH D)
Entity Type:Individual
Prefix:
First Name:ZAYMARA
Middle Name:
Last Name:ESTEVES
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 SHOEMAKER LN
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-3690
Mailing Address - Country:US
Mailing Address - Phone:508-667-7216
Mailing Address - Fax:
Practice Address - Street 1:242 SHOEMAKER LN
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-3690
Practice Address - Country:US
Practice Address - Phone:508-667-7216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11454103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical