Doctor Name: | ANTOINETTE ZVORAK |
NPI Number: | 1013379148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2007030812 |
Business Practice Address: | 4905 Mexico Rd Suite 300 Saint Peters, MO - 633761610 |
Business Phone Number: | 6369285109 |
Business Fax Number: | 6364411081 |
Mailing Address: | 5000 Cedar Plaza Pkwy, Suite 350 SAINT LOUIS |
State: | MO |
Postal Code: | 631283854 |
Phone Number: | 3148434333 |
Fax Number: | 3148420772 |
NPI Enumeration Date: | 03/28/2016 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2007030812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |