Provider Demographics
NPI:1265496830
Name:ZENTNER, SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:ZENTNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 LOOP RD
Mailing Address - Street 2:4800 SOUTH GRAND ST.
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-3344
Mailing Address - Country:US
Mailing Address - Phone:318-412-5265
Mailing Address - Fax:318-435-3842
Practice Address - Street 1:MONROE REGIONAL MENTAL HEALTH CENTER
Practice Address - Street 2:4800 SOUTH GRAND ST.
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-6412
Practice Address - Country:US
Practice Address - Phone:318-362-3261
Practice Address - Fax:318-362-3336
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.O194922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1999792Medicaid
LAE96218Medicare UPIN
LA5R777Medicare ID - Type Unspecified