Doctor Name: | JENNIFER A ZEUSCHNER |
NPI Number: | 1245530898 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APC |
License Number: | |
Business Practice Address: | 198 East Center Street Moab, UT - 845320000 |
Business Phone Number: | 4352596131 |
Business Fax Number: | 4352595369 |
Mailing Address: | Po Box 867, PRICE |
State: | UT |
Postal Code: | 845010867 |
Phone Number: | 4356377200 |
Fax Number: | 4356372377 |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |