Provider Demographics
NPI:1346966116
Name:FITZPATRICK, KAYLEN ZEBROWSKI (PSYD)
Entity type:Individual
Prefix:
First Name:KAYLEN
Middle Name:ZEBROWSKI
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KAYLEN
Other - Middle Name:SHANEI
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 S ANDREWS AVE
Mailing Address - Street 2:STE 504 #1073
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2066
Mailing Address - Country:US
Mailing Address - Phone:954-546-1920
Mailing Address - Fax:
Practice Address - Street 1:200 S ANDREWS AVE
Practice Address - Street 2:STE 504 #1073
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1864
Practice Address - Country:US
Practice Address - Phone:954-546-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12175103TC0700X
NY026616103TC0700X
MO2022038977103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical