Zsombor Peter Florian, MA, LP

Individual provider Active NPI Psychologist · Lake Saint Louis, MO

NPI 1366532202 · NPPES record last updated Mar 15, 2017

Key facts

NPI
1366532202
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PYO1444 (MO)
Practice address
1000 Lake Saint Louis Blvd
Ste 252
Lake Saint Louis, MO 63367-2924
Phone
(636) 625-2409
Fax
(636) 625-2409
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PYO1444MOMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PYO1444 MO Yes

Addresses

Primary practice location

1000 Lake Saint Louis Blvd
Ste 252
Lake Saint Louis, MO 63367-2924

Mailing address

1000 Lake Saint Louis Blvd
Ste 252
Lake St Louis, MO 63367-2924
Phone (636) 625-2409

Other identifiers

IdentifierTypeStateIssuer
493680227MedicaidMO

Other names

  • Mr. Z. Peter Florian Professional name

Other providers in Lake Saint Louis, MO

All providers in Lake Saint Louis, MO · Psychologist in Missouri

Sources for this page

Verify at the official NPI Registry.