Provider Demographics
NPI:1154622827
Name:ZAVIN, STUART (MS)
Entity type:Individual
Prefix:MR
First Name:STUART
Middle Name:
Last Name:ZAVIN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97-99 PARK AVE
Mailing Address - Street 2:30
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7604
Mailing Address - Country:US
Mailing Address - Phone:203-826-9447
Mailing Address - Fax:
Practice Address - Street 1:97-99 PARK AVE
Practice Address - Street 2:30
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7604
Practice Address - Country:US
Practice Address - Phone:203-826-9447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool