Provider Demographics
NPI:1962683417
Name:ROBBIN P. ZABORNIAK,LISW
Entity Type:Organization
Organization Name:ROBBIN P. ZABORNIAK,LISW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:PHELPS
Authorized Official - Last Name:ZABORNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-329-0262
Mailing Address - Street 1:38 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-1203
Mailing Address - Country:US
Mailing Address - Phone:614-329-0262
Mailing Address - Fax:614-729-9966
Practice Address - Street 1:38 N CENTER ST
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-1203
Practice Address - Country:US
Practice Address - Phone:614-329-0262
Practice Address - Fax:614-729-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0008411251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9339921Medicare PIN