Provider Demographics
NPI:1922467653
Name:ZADRA, SUMMER RIA
Entity type:Individual
Prefix:MRS
First Name:SUMMER
Middle Name:RIA
Last Name:ZADRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:RIA
Other - Last Name:TORREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 W LAW ST
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:WI
Mailing Address - Zip Code:54961-1730
Mailing Address - Country:US
Mailing Address - Phone:920-666-9058
Mailing Address - Fax:
Practice Address - Street 1:512 W LAW ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:WI
Practice Address - Zip Code:54961-1730
Practice Address - Country:US
Practice Address - Phone:920-666-9058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist