MEDICARE: DR. KE ANNE ZHANG PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	103TC0700X	Clinical Psychologist	111445	IA
3	103T00000X	Psychologist	111445	IA
4	103TB0200X	Cognitive & Behavioral Psychologist	111445	IA
5	103TH0004X	Health Psychologist	111445	IA
6	103TH0100X	Health Service Psychologist	111445	IA
7	103TP2701X	Group Psychotherapy Psychologist	111445	IA

General Provider Information

NPI Number	:	1003292681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KE ANNE ZHANG PHD

Provider Business Mailing Address
First Line	:	340 IOWA AVE
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1210
Country	:	US
Telephone Number	:	319-335-2467
Fax Number	:	319-353-2919

Provider Business Practice Location Address
First Line	:	340 IOWA AVE
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1210
Country	:	US
Telephone Number	:	319-335-2437
Fax Number	:	319-353-2919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2015
Last Update Date	:	10/12/2023

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