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NPI Code Detail

MEDICARE: DR. DAVID L ZIEGLER PH.D.

MEDICARE: DR. DAVID L ZIEGLER 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
1103TC1900XCounseling Psychologist1409OR

General Provider Information

NPI Number : 1609076009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID L ZIEGLER PH.D.
Provider Business Mailing Address
First Line : 37875 JASPER LOWELL RD
Second Line :
City : JASPER
State : OR
Zip : 97438-9751
Country : US
Telephone Number : 541-747-1235
Fax Number :
Provider Business Practice Location Address
First Line : 37875 JASPER LOWELL RD
Second Line :
City : JASPER
State : OR
Zip : 97438-9751
Country : US
Telephone Number : 541-747-1235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 07/23/2007

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