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NPI Code Detail

MEDICARE: DR. ZACHARY MARTIN SHNEK PH.D.

MEDICARE:  DR. ZACHARY MARTIN SHNEK  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
1103TC0700XClinical Psychologist4053AZ
2103T00000XPsychologist4053AZ

General Provider Information

NPI Number : 1679809214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY MARTIN SHNEK PH.D.
Provider Business Mailing Address
First Line : 13198 N PIER MOUNTAIN RD
Second Line :
City : MARANA
State : AZ
Zip : 85658-4228
Country : US
Telephone Number : 520-306-6028
Fax Number :
Provider Business Practice Location Address
First Line : 7360 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-2305
Country : US
Telephone Number : 520-306-6028
Fax Number : 520-579-0798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2009
Last Update Date : 01/07/2021

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Directions to “ DR. ZACHARY MARTIN SHNEK PH.D.” Practice Location

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