| Doctor Name: | EDWARD J. ZDENEK |
| NPI Number: | 1235113135 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SC.D. |
| License Number: | 2784 |
| Business Practice Address: | 770 Washington St. Suite 3 Holliston, MA - 01746 |
| Business Phone Number: | 5084297311 |
| Business Fax Number: | |
| Mailing Address: | 770 Washington St., Suite 3 HOLLISTON |
| State: | MA |
| Postal Code: | 01746 |
| Phone Number: | 5084297311 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2005 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 2784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |