Doctor Name: | ABBY D ZEGERS |
NPI Number: | 1154691871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, IADC |
License Number: | 10065 |
Business Practice Address: | 8527 University Blvd Suite 9 Clive, IA - 503251069 |
Business Phone Number: | 5154025422 |
Business Fax Number: | 5152245802 |
Mailing Address: | 8527 University Blvd, Suite 9 CLIVE |
State: | IA |
Postal Code: | 503251069 |
Phone Number: | 5154025422 |
Fax Number: | 5152245802 |
NPI Enumeration Date: | 01/11/2012 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 10065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |