MEDICARE: DR. ARTHUR BENJAMIN ZINKE LMFT

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	101YM0800X	Mental Health Counselor	IMF53745	CA
2	106H00000X	Marriage & Family Therapist	LMFT-9757	ID

General Provider Information

NPI Number	:	1508032582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR BENJAMIN ZINKE LMFT

Provider Business Mailing Address
First Line	:	6700 N LINDER RD STE 156A
Second Line	:	#355
City	:	MERIDIAN
State	:	ID
Zip	:	83646
Country	:	US
Telephone Number	:	626-665-5070
Fax Number	:

Provider Business Practice Location Address
First Line	:	19322 JESSE LN
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5072
Country	:	US
Telephone Number	:	951-387-4040
Fax Number	:

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	07/11/2024

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