Provider Demographics
NPI:1871979773
Name:DR MIRIAM ZUROFF
Entity type:Organization
Organization Name:DR MIRIAM ZUROFF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:CEYNA
Authorized Official - Last Name:ZUROFF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-985-8646
Mailing Address - Street 1:17362 SHERFIELD PL
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7032
Mailing Address - Country:US
Mailing Address - Phone:973-985-8646
Mailing Address - Fax:
Practice Address - Street 1:32255 NORTHWESTERN HWY
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1566
Practice Address - Country:US
Practice Address - Phone:973-985-8646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301014407103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty