Darryl Robert Zitzow in Ogema - Psychologist
Darryl Robert Zitzow - NPI 1073532230
Darryl Robert Zitzow is a Psychologist in Ogema, Minnesota. Darryl Robert Zitzow practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Darryl Robert Zitzow is 1073532230. The last update date is 2007-07-08.
Darryl Robert Zitzow's current location address is 40520 Co Hwy 34, Ogema, Minnesota. You can contact this provider via phone number 2189834300 and fax number 2189836217. The mailing address for Darryl Robert Zitzow is 40520 Co Hwy 34, Ogema, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darryl Robert Zitzow |
|---|---|
| Address | 40520 Co Hwy 34, Ogema, Minnesota |
| Phone Number | 2189834300 |
| Fax Number | 2189836217 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1073532230 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40520 Co Hwy 34 |
|---|---|
| City | Ogema |
| State | Minnesota (MN) |
| Post Code | 56569 |
| Phone Number | 2189834300 |
| Fax Number | 2189836217 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4562 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6157953 | MN | MEDICA | |
| 03T99ZI | MN | BCBS | |
| 585241045032 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the Darryl Robert Zitzow's unique identification number?
The Darryl Robert Zitzow has been assigned the NPI (National Provider Identifier) Number 1073532230 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Darryl Robert Zitzow's facilities are geographically located?
The facilities of Darryl Robert Zitzow are physically situated at the following location: 40520 Co Hwy 34, Ogema, MN, 56569.
What is Darryl Robert Zitzow's specialized field of practice, and what is the corresponding taxonomy classification code?
The Darryl Robert Zitzow's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When was the Darryl Robert Zitzow's 1073532230 issued?
The Darryl Robert Zitzow's 1073532230 was issued on 2006-07-19.
When was the information related to Darryl Robert Zitzow most recently updated or refreshed?
The details pertaining to the Darryl Robert Zitzow, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.