Provider Demographics
NPI:1699296574
Name:ZEBROWSKI, SANDRA M (MD)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:M
Last Name:ZEBROWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 E ESPLANADE LN UNIT 601
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4898
Mailing Address - Country:US
Mailing Address - Phone:215-870-8057
Mailing Address - Fax:
Practice Address - Street 1:4350 E COTTON CENTER BLVD STE 100
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-8852
Practice Address - Country:US
Practice Address - Phone:602-414-7521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ505682084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry