MEDICARE: MARIE ZEPPA RAY LPC

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	19835	TX

General Provider Information

NPI Number	:	1932915386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE ZEPPA RAY LPC

Provider Business Mailing Address
First Line	:	PO BOX 26189
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78755-0189
Country	:	US
Telephone Number	:	512-863-4466
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 E ELIZABETH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2443
Country	:	US
Telephone Number	:	512-863-4466
Fax Number	:

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

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	12/09/2024

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Directions to “ MARIE ZEPPA RAY LPC” Practice Location

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