Provider Demographics
NPI:1427251602
Name:ZERBA, MARGARET (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:ZERBA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 WARRENSVILLE CENTER RD APT 306
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-3772
Mailing Address - Country:US
Mailing Address - Phone:216-973-9756
Mailing Address - Fax:216-417-0313
Practice Address - Street 1:14701 DETROIT AVE STE 775
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4120
Practice Address - Country:US
Practice Address - Phone:216-973-9756
Practice Address - Fax:216-417-0313
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.5903103TC0700X
OH5903102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000361473OtherBC BS NUMBER