Doctor Name: | ANNETTE MARINO ZAVAREEI |
NPI Number: | 1073717054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED. D |
License Number: | 100002 |
Business Practice Address: | 404 Old Main Dr Summersville, WV - 266511360 |
Business Phone Number: | 3048723611 |
Business Fax Number: | |
Mailing Address: | 101 Deming Dr, CHARLESTON |
State: | WV |
Postal Code: | 253141013 |
Phone Number: | 3043465006 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 100002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |