MEDICARE: DR. DONNA MAY ZOOK 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	101YP2500X	Professional Counselor	1054	MT
2	103TC0700X	Clinical Psychologist	MT349	MT
3	103TF0200X	Forensic Psychologist	MT349	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	740360	OTHER	MT	BCBS

General Provider Information

NPI Number	:	1861559957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA MAY ZOOK PHD

Provider Business Mailing Address
First Line	:	1601 2ND AVE N
Second Line	:	SUITE 620
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3259
Country	:	US
Telephone Number	:	406-453-5638
Fax Number	:	406-453-1534

Provider Business Practice Location Address
First Line	:	1601 2ND AVE N
Second Line	:	SUITE 620
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3259
Country	:	US
Telephone Number	:	406-453-5638
Fax Number	:	406-453-1534

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	09/11/2025

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