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NPI Code Detail

MEDICARE: DR. MARK ALAN ZENTNER PH.D.

MEDICARE:  DR. MARK ALAN ZENTNER  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 Psychologist31574TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
159HVOTHERTXBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1932118015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ALAN ZENTNER PH.D.
Provider Business Mailing Address
First Line : 100 W DEAN KEETON ST FL 5
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1091
Country : US
Telephone Number : 512-475-6922
Fax Number :
Provider Business Practice Location Address
First Line : 100 W DEAN KEETON ST FL 5
Second Line :
City : AUSTIN
State : TX
Zip : 78712-1091
Country : US
Telephone Number : 512-475-6922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2006
Last Update Date : 03/12/2021

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Directions to “ DR. MARK ALAN ZENTNER PH.D.” Practice Location

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