Doctor Name: | ZIFA HACKETT |
NPI Number: | 1003215286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 074108 |
Business Practice Address: | 808 5th Ave Des Moines, IA - 503091307 |
Business Phone Number: | 5152442267 |
Business Fax Number: | |
Mailing Address: | 808 5th Ave, DES MOINES |
State: | IA |
Postal Code: | 503091307 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/14/2014 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 074108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |