Provider Demographics
NPI:1235477829
Name:ZENDER, ZACHARY THOMAS (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:THOMAS
Last Name:ZENDER
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 AIRPORT FWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-6117
Mailing Address - Country:US
Mailing Address - Phone:817-583-3869
Mailing Address - Fax:
Practice Address - Street 1:3901 AIRPORT FWY
Practice Address - Street 2:SUITE 230
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6117
Practice Address - Country:US
Practice Address - Phone:817-583-3869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67250101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional