MEDICARE: MARK R ZITLIN 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	103TC0700X	Clinical Psychologist	2-4460	TX

General Provider Information

NPI Number	:	1801925136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK R ZITLIN PHD

Provider Business Mailing Address
First Line	:	4901 BROADWAY ST
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5734
Country	:	US
Telephone Number	:	210-822-5795
Fax Number	:	210-822-5935

Provider Business Practice Location Address
First Line	:	4901 BROADWAY ST
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5734
Country	:	US
Telephone Number	:	210-822-5795
Fax Number	:	210-822-5935

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

Provider Enumeration Date	:	03/04/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1619083334 — MS. BILLIE L SMITHSON MA LPC
Practice Location Address:

4901 BROADWAY , STE 100
SAN ANTONIO, TX
78209-5734

Practice Phone: 210-822-5795
Practice Fax: 210-822-5939

1790900496 — STEPHANIE REESE MA, LPC
Practice Location Address:

4901 BROADWAY ST STE 100
SAN ANTONIO, TX
78209-5734

Practice Phone: 210-822-5795
Practice Fax: 210-822-5939

1003692245 — JESSICA FUENTES
Practice Location Address:

1235 W RUSSELL PL APT 3
SAN ANTONIO, TX
78201-5734

Practice Phone: 210-621-5773
Practice Fax:

1396886172 — DR JACQUELYN KOTARAC, M.D., INC.
Practice Location Address:

3941 SAN DIMAS ST , STE. 103A
BAKERSFIELD, CA
93301-5734

Practice Phone: 661-322-3225
Practice Fax: 661-322-2997

1811185077 — GLORY DAYS ADULT DAY CARE
Practice Location Address:

586 RESACA SHORES BLVD
SAN BENITO, TX
78586-5734

Practice Phone: 956-241-1229
Practice Fax:

1841509064 — ANIL MEHTA MD INC
Practice Location Address:

3941 SAN DIMAS ST , 104
BAKERSFIELD, CA
93301-5734

Practice Phone: 661-322-8466
Practice Fax: 661-322-5902

Directions to “ MARK R ZITLIN PHD” 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 © 2007-2026 (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.