MEDICARE: DR. KEVIN CLYDE ZALIZNIAK PH.D.

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	103TC0700X	Clinical Psychologist	PSY-005589	AZ

General Provider Information

NPI Number	:	1578392957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN CLYDE ZALIZNIAK PH.D.

Provider Business Mailing Address
First Line	:	501 W ENCANTO BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85003-1112
Country	:	US
Telephone Number	:	312-282-6833
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 E PIERCE ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-6092
Country	:	US
Telephone Number	:	480-344-2000
Fax Number	:

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

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	08/01/2024

Similar Medicare Providers

1538037775 — MERCY CHINYERE AHUKANNA
Practice Location Address:

2619 E PIERCE ST
PHOENIX, AZ
85008-6092

Practice Phone: 480-344-2000
Practice Fax:

1285597617 — INIOBONG KOFFI PMHNP-BC
Practice Location Address:

2619 E PIERCE ST
PHOENIX, AZ
85008-6092

Practice Phone: 480-344-2000
Practice Fax:

1851332761 — ARIZONA CVS STORES LLC
Practice Location Address:

4430 E RAY RD
PHOENIX, AZ
85044-6092

Practice Phone: 480-785-1006
Practice Fax:

1477589711 — MRS. GREER LEADBEATER NP
Practice Location Address:

4430 E RAY RD
PHOENIX, AZ
85044-6092

Practice Phone: 480-466-6596
Practice Fax:

1073622932 — MRS. JANELLE CHRISTINE RASTAD FNP
Practice Location Address:

4430 E RAY RD
PHOENIX, AZ
85044-6092

Practice Phone: 866-389-2727
Practice Fax:

1942609888 — DEBRA DIANE STALKER PHARMACIST
Practice Location Address:

4430 E RAY RD
PHOENIX, AZ
85044-6092

Practice Phone: 480-785-1006
Practice Fax:

Directions to “ DR. KEVIN CLYDE ZALIZNIAK PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.