Provider Demographics
NPI:1033295365
Name:ZUCCONE, CAROL F (EDD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:F
Last Name:ZUCCONE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 SOUTHWEST FWY
Mailing Address - Street 2:STE 216
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1607
Mailing Address - Country:US
Mailing Address - Phone:713-771-3108
Mailing Address - Fax:713-771-3112
Practice Address - Street 1:8303 SOUTHWEST FWY
Practice Address - Street 2:STE 216
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1607
Practice Address - Country:US
Practice Address - Phone:713-771-3108
Practice Address - Fax:713-771-3112
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23397103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX29160OtherDDS