Provider Demographics
NPI:1306334958
Name:ZARBO, BRETT (QMHS)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:
Last Name:ZARBO
Suffix:
Gender:M
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-4042
Mailing Address - Country:US
Mailing Address - Phone:440-709-0053
Mailing Address - Fax:
Practice Address - Street 1:273 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-4042
Practice Address - Country:US
Practice Address - Phone:440-709-0053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health