Provider Demographics
NPI:1932420106
Name:ZIPRIS, LAURA AILEEN (PSYD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:AILEEN
Last Name:ZIPRIS
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 604
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8165
Mailing Address - Country:US
Mailing Address - Phone:561-558-7815
Mailing Address - Fax:561-637-4446
Practice Address - Street 1:5300 W ATLANTIC AVE
Practice Address - Street 2:SUITE 604
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8165
Practice Address - Country:US
Practice Address - Phone:561-558-7815
Practice Address - Fax:561-637-4446
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-9456101YM0800X
NY016131-1103TB0200X
FLSS866103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool