| Heather A Zak Phd Pc | |
|
302 S Waverly Rd Suite 3 Lansing MI 48917-3631 | |
| (517) 327-7400 | |
| (517) 327-3915 |
| Full Name | Heather A Zak Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 302 S Waverly Rd, Lansing, Michigan |
| Authorized Official Name and Position | Heather Zak (OWNER) |
| Authorized Official Contact | 5173277400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Zak Phd Pc 302 S Waverly Rd Suite 3 Lansing MI 48917-3631 Ph: (517) 327-7400 | Heather A Zak Phd Pc 302 S Waverly Rd Suite 3 Lansing MI 48917-3631 Ph: (517) 327-7400 |
| NPI Number | 1285907121 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 05/01/2012 |
| Medicare PECOS PAC ID | 7416119649 |
|---|---|
| Medicare Enrollment ID | O20120503000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285907121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4398970 (Michigan) | Primary |
| Provider Name | Heather A Zak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649361510 PECOS PAC ID: 8224290457 Enrollment ID: I20120503000477 |
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