Provider Demographics
NPI:1225083355
Name:ZENDER, JAMES F (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:ZENDER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 931
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48046-0931
Mailing Address - Country:US
Mailing Address - Phone:586-465-6148
Mailing Address - Fax:586-465-5753
Practice Address - Street 1:117 CASS AVE
Practice Address - Street 2:STE 204
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-8803
Practice Address - Country:US
Practice Address - Phone:586-465-6148
Practice Address - Fax:586-465-5753
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI005360103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist